| NPI | 1326682089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WALLACE NOBLE Manager Member 337-721-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207T00000X Neurological Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2086S0105X Surgery, Surgery of the Hand | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2020-02-15 |