NPI | 1912130147 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANNING K SANDERS President 985-223-7508 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 22360) |
Enumeration Date | 2009-09-04 |
Last Update Date | 2016-10-18 |