NPI | 1275055618 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY TRAVIS BAKER Manager 985-640-4948 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2017-07-07 |
Last Update Date | 2017-07-24 |