| NPI | 1871880682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BLACKWELL SCHUNEMEYER President 337-365-4195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2015-02-20 |