| NPI | 1740602572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HENRY STRAND President 985-626-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: LA 09430R) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: LA 09430R) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-05-13 |