| NPI | 1720037922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN PATRICK GRANGER Physician / Owner 337-392-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 11865R) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |