| NPI | 1265845069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MICHAEL BAIER Manager 985-373-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD204287) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-10-16 |