NPI | 1205486669 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE WHITMAN President/Director 337-609-1221 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2019-09-18 |
Last Update Date | 2023-09-12 |