| NPI | 1780929604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM GRESSAFFA COO 985-882-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2014-08-26 |