NPI | 1720620784 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY JANE WARD Senior VP Finance 318-212-8951 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
Enumeration Date | 2019-10-11 |
Last Update Date | 2019-10-11 |