| NPI | 1477586964 |
|---|---|
| Former Legal Business Name | ORTHOPAEDIC AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ANGIE GUIDRY Insurance 337-264-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-04-09 |