| NPI | 1225297658 |
|---|---|
| Doing Business As | DERIDDER SUGICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID J. BROWN Owner 337-463-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 019016) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2010-04-09 |