NPI | 1831402924 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON M GUILLOT Owner 985-327-5905 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: LA 203549) |
Additional Taxonomies | 207YS0012X (Licence: LA 203549) |
207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: LA 203549) | |
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: LA 203549) | |
Enumeration Date | 2010-07-19 |
Last Update Date | 2016-04-12 |