| NPI | 1912972886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E BERGSTEDT Owner/President 337-475-8429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 208600000X Surgery | |
| 207N00000X Dermatology | |
| 207W00000X Ophthalmology | |
| 208000000X Pediatrics | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2014-04-29 |