| NPI | 1922262112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY MALLERY Independent Contractor 504-891-2354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA 03781R) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2009-12-18 |