| 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 |