NPI | 1821260464 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT G CONKLIN Owner/Operator 504-309-8928 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2008-03-24 |
Last Update Date | 2008-03-24 |