| NPI | 1528214871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA VIAL BENSON M.D. 985-785-6204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 013753) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA 013753) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |