NPI | 1467675124 |
---|---|
Entity Type | Organization |
Authorized Contact | CLIF S RICHARDSON Administrator 225-763-7770 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: LA PD317R) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2013-10-17 |