| NPI | 1265054969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE FORD CHIASSON President 225-269-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |