| NPI | 1295081909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN WAYNE GOODYEAR Medical Doctor 318-255-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA MD.201086) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |