NPI | 1255735320 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY ISAAC BLANCHARD Podiatrist 337-356-3905 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: LA PD140R) |
Enumeration Date | 2014-10-17 |
Last Update Date | 2014-10-17 |