| NPI | 1386757243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE E VIATOR Sr VP And CFO 225-237-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |