| NPI | 1710246210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T VANDERMOLEN Director 318-344-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |