| NPI | 1063877504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE SHARON CLARK Podiatrist 504-231-7147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: PA SC006698) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |