| NPI | 1699812677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY BALL CFO 985-542-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: LA 3068871001) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |