| Organization Name: | PEDIATRIC ASSOCIATES OF DENHAM SPRINGS |
| NPI Number: | 1134565112 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN EDWARD ZGANJAR (OWNER/MD) |
| Mailing Address: | 1211 N Range Ave Suite D Denham Springs |
| State: | LA US |
| Postal Code: | 707262428 |
| Phone Number: | 2259330090 |
| Fax Number: | 2256650055 |
| NPI Enumeration Date: | 05/16/2013 |
| NPI Last Update Date: | 05/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | AP07255 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |