| NPI | 1659688489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL R. BOURQUE Physician 337-234-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 016161) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2023-06-20 |