| NPI | 1396199980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN OGDEN Owner / Md 985-400-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.206418) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.206418) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-05-10 |