NPI 1437340684

Seasons Medical Aesthetics

Organisation Obstetrics & Gynecology Physician Ruston, LA

Practice location

Address: 411 E Vaughn Ave Suite 201, Ruston, LA 71270-5972
Phone: (318) 255-3223
Fax: (318) 255-3181
Mailing address: 921 N Trenton St, Ruston, LA 71270-3327

Authorised official

Name: Nathan Wayne Goodyear
Title: Owner
Phone: (318) 255-3223

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 201086 (LA)

Other Obstetrics & Gynecology providers in Louisiana →

Registry record

NPI: 1437340684
Entity type: Organization
NPI issued: 5 Aug 2007
Record last updated: 5 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.