| NPI | 1528239555 |
|---|---|
| Other Name | EAR, NOSE, THROAT, AND ALLERGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICHARD J. BIDSTRUP Physician 337-942-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA L009234) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |