| NPI | 1679515118 |
|---|---|
| Doing Business As | NORTH BOSSIER INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GREG J. GAVIN Network Administrator 318-212-8780 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2011-12-20 |