Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 994 | LA |
NPI | 1093834269 |
---|---|
Provider Name | Dr. George Argue Putnam JR. |
First Address | Harahan, LA 70123-5517 |
Second Address | Harahan, LA 70123-5517 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 16/05/2008 |