NPI | 1972607489 |
---|---|
Doing Business As | NORTHEAST LOUISIANA SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | DAVID G GARDNER President 318-322-5506 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 83) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2010-08-12 |