| NPI | 1912168014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MARK WILLIAMS Physician/Owner 337-477-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 016891) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2018-06-21 |