| NPI | 1649242611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C SCOTT BOAGNI President 337-942-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA O20814) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2008-10-27 |