| NPI | 1902877566 |
|---|---|
| Doing Business As | AMBULATORY FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID VANG Physician 985-893-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA dpm200001) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2009-12-07 |