NPI | 1578614707 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DAVID DELAPP Physician 337-239-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 12067R) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2010-01-27 |