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 |