| NPI | 1831363282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN WAYNE GOODYEAR President 318-325-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD201086) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |