NPI | 1750447215 |
---|---|
Entity Type | Organization |
Authorized Contact | R. MOLLIE A. JOHN President 318-387-1437 |
Organization Subpart ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: LA 10383R) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2010-07-19 |