| NPI | 1699083188 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH AERTKER Inte RN Ist 337-783-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: LA MD.201790) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-30 |