| NPI | 1558662437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY S NEIDIGH Owner 337-905-6895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04229) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |