NPI | 1093894651 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN C ALLEN Owner Podiatrist 985-340-0099 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA PD315R) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2008-03-31 |