| NPI | 1609316322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B LOGAN Partner 985-871-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: LA MD020254) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |