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 |