NPI | 1376567032 |
---|---|
Doing Business As | HAYDEL SPINE & PAIN SPECIALTY CARE CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL STEPHEN HAYDEL CEO 985-223-3132 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: LA MD021195) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: LA MD020562) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2012-12-13 |