NPI | 1396732178 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD MARK BELLE ISLE Owner/Physician 337-234-3757 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2005-10-05 |
Last Update Date | 2024-01-02 |