NPI | 1427305788 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD JOHN KLUCHIN Owner/Internal Medicine 985-626-8110 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 017699) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2016-01-27 |