| NPI | 1639561277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIER DESELLE ANDERSON Podiatrist 318-884-7917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA DPM.200039) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |