NPI | 1396950580 |
---|---|
Doing Business As | FOOT SPECIALISTS OF SHREVEPORT BOSSIER |
Entity Type | Organization |
Authorized Contact | KELLI A FULFORD Office Manager 318-213-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2007-05-11 |
Last Update Date | 2008-06-19 |