| NPI | 1780384644 |
|---|---|
| Other Name | STONEBRIDGE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LESLIE ANN TRAHAN Member/Manager 337-439-8111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |