NPI | 1750407482 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD DOUGLAS SMITH President 318-329-1180 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 05728R) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2023-03-07 |