| NPI | 1770683997 |
|---|---|
| Former Legal Business Name | PULMONARY DISEASE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BONNIE P BRYN Administrator Office Manager 318-635-0834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |