| NPI | 1437433943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGHALE ELEYAE Manager 318-357-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA DPM200017) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2020-12-15 |