| NPI | 1528067592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ANNE GLEGHORN Executive Secretary 985-237-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-08-29 |