NPI | 1295212058 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL DOUGLAS SLOCUM Owner 985-445-8354 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2018-07-25 |
Last Update Date | 2018-07-25 |