| NPI | 1215103445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY RYAN GRIZZAFFI Owner 337-232-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: LA DPM.PD034R) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2021-07-13 |