| NPI | 1417994989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN BENOIT Director 337-824-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |