| NPI | 1396897062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE BUCKNER CFO 985-542-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA 3068871001) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-07-22 |