Organization · Type 2 NPI
The Foot Clinic of West Louisiana
Foot Surgery Podiatrist · Deridder, LA
NPI number
1104957695
Active
Practice location
901 Shirley Street
Deridder, LA 70634
Fax (337) 239-1062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | None listed |
Foot Surgery Podiatrist: Definition to come...
About NPI 1104957695
The Foot Clinic of West Louisiana's National Provider Identifier is 1104957695, issued on Mar 8, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Deridder, LA. The record was last updated on Aug 9, 2011.