| NPI | 1548784523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONDRA BERNARD Office Manager 337-233-0219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: LA 206155) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |