| NPI | 1871586131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD JOSEPH MILLER Owner 985-429-8168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: LA 09306R) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2008-04-09 |