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 |