| 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 |