NPI | 1467408799 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM CASEY Business Administrator 985-646-1122 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-26 |
Last Update Date | 2010-02-03 |