| NPI | 1326197443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY DORROH Billing And Coding Manager 225-906-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 04543R) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |