| NPI | 1538780630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WALLACE NOBLE Manager Member 337-721-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-05-07 |