| NPI | 1760077762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DUCOTE Practice Administrator 337-508-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |