NPI | 1124268321 |
---|---|
Doing Business As | GARDNER FOOT CLINIC |
Entity Type | Organization |
Authorized Contact | DAVID G GARDNER Podiatrist 318-322-5506 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: LA PD221R) |
Enumeration Date | 2009-02-27 |
Last Update Date | 2009-02-27 |