NPI | 1851433478 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM LOY EDDLEMAN Owner 318-213-1025 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: LA 05994R) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-09-14 |