| NPI | 1396789749 |
|---|---|
| Doing Business As | BOSSIER EAR NOSE AND THROAT |
| Entity Type | Organization |
| Authorized Contact | GREG J. GAVIN Network Administrator 318-212-7952 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2011-12-20 |