| 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 |