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 |