| NPI | 1265623599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH STIPELCOVICH Administrator 985-223-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD021195) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |