| NPI | 1760612865 |
|---|---|
| Other Name | COOLIDGE LOCATION |
| Entity Type | Organization |
| Authorized Contact | EDWARD F BREAUX Managing Member 337-233-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2010-01-04 |