NPI | 1497935795 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN MICHAEL YOUNGBLOOD Physician 985-868-3737 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 200196) |
Enumeration Date | 2007-11-05 |
Last Update Date | 2008-05-08 |