NPI | 1992122642 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID P ALLEN Owner 985-215-5618 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: LA DPM.200052) |
Enumeration Date | 2014-03-19 |
Last Update Date | 2014-03-19 |