| NPI | 1902082175 |
|---|---|
| Doing Business As | ORTHOPAEDIC CLINIC OF MANDEVILLE |
| Entity Type | Organization |
| Authorized Contact | PAUL MATTHEWS VAN DEVENTER Physician/Owner 985-674-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |