NPI | 1396088464 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA D VARNADO VP Business Services 985-624-7401 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208600000X Surgery |
208800000X Urology | |
Enumeration Date | 2013-03-27 |
Last Update Date | 2013-04-24 |