NPI | 1639138522 |
---|---|
Former Legal Business Name | BRADLEY J CHASTANT MD FACS APMC |
Entity Type | Organization |
Authorized Contact | BRADLEY J CHASTANT President 337-237-0650 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
Additional Taxonomies | 207Y00000X Otolaryngology |
Enumeration Date | 2006-03-21 |
Last Update Date | 2021-07-07 |