| NPI | 1770587248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL K. DIBBS Owner 337-942-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: LA 11220R) |
| Enumeration Date | 2005-06-11 |
| Last Update Date | 2008-10-31 |