| 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 |