| NPI | 1285751362 |
|---|---|
| Doing Business As | THE PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANTHONY JUDE PALAZZO Owner 985-732-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA APO4688) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA MD.07154R) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-04-27 |