| NPI | 1790183820 |
|---|---|
| Doing Business As | SJPH PHYSICIAN CLINICS |
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN PRATT CEO 225-258-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |