NPI | 1740407915 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHALL PATRICK STAGG M.D. 225-757-0343 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-04-19 |
Last Update Date | 2008-04-14 |