| NPI | 1356622336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY JOHN CHASTANT Physician 337-289-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD204845) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2013-05-07 |