| NPI | 1295837326 |
|---|---|
| Other Name | STATE INSTITUTION |
| Entity Type | Organization |
| Authorized Contact | SYLVIA D MORPHY Practice Manager 504-889-9893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |