| NPI | 1508057696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH MONTGOMERY Owner 337-235-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA 020154) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2008-05-21 |