NPI | 1386803773 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARENCE B DUNN Dr 318-322-2202 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 021090) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2012-02-02 |