| NPI | 1669926887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA A ROIG Practice Manager 985-326-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2018-08-21 |