| NPI | 1417608803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANEY L HIPPLER Regional Director Of Clinic Ops 318-315-7093 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-02-04 |