| NPI | 1467409672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES C. BERGGREEM Director 225-927-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: LA 46) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |