| NPI | 1922868405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL FIELD Medical Director 225-229-4033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |