| NPI | 1912967316 |
|---|---|
| Former Legal Business Name | COLON AND RECTAL CLINIC OF ACADIANA |
| Entity Type | Organization |
| Authorized Contact | SONDRA A. BERNARD Office Manager 337-233-0219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: LA 017238) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2019-12-20 |