NPI | 1811038433 |
---|---|
Former Legal Business Name | ACADIANA DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER RAYMOND HUBBELL Physician 337-981-6065 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: LA 019067) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2020-06-25 |