NPI | 1700096690 |
---|---|
Doing Business As | WBR FAMILY AND OCCUPATIONAL MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | PHILIP G. PADGETT Owner 225-267-6626 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 019597) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2023-03-07 |