| NPI | 1639587710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ROME Administrator 985-223-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 014511) |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2018-02-23 |