| NPI | 1295868024 |
|---|---|
| Doing Business As | MOSS BLUFF MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SANDRA D BRUNO Owner 337-217-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 020956) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |