| NPI | 1528287760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK STEPHEN LEBLANC Physician President 337-234-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 09274R) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-02-11 |