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 |