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 |