NPI | 1912435710 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK DAWSON Owner 337-334-7551 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2017-05-24 |
Last Update Date | 2022-07-21 |