| NPI | 1588981641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP A GARDNER President 985-590-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: LA 03988R) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |