SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION

SHREVEPORT, LA
NPI1033111240
Doing Business AsSOUTHSIDE FOOT CLINIC
Entity TypeOrganization
Authorized ContactRICHARD TAYLOR HAVENS
Physician/Administrator
318-687-6266
Organization Subpart ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: LA  5B496)
Enumeration Date2005-06-01
Last Update Date2023-06-08
Business Address
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION
9308 MANSFIELD RD STE 100
SHREVEPORT, LA 71118-3134
Phone number: 318-687-6266
Mailing Address
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION
9308 MANSFIELD RD STE 100
SHREVEPORT, LA 71118-3134
Phone number: 318-687-6266
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