| NPI | 1841820396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GUZAN Manager Member 985-956-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |