| NPI | 1609102045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY C DENNIS Owner/Administrator 225-276-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 200648) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |