| NPI | 1861765364 |
|---|---|
| Doing Business As | JOB G TRAXLER, MD |
| Entity Type | Organization |
| Authorized Contact | JON G TRAXLER Owner 225-767-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 09944R) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |