Organization · Type 2 NPI
Jla Senior Footcare MS LLC
Foot Surgery Podiatrist · Petal, MS
NPI number
1508161597
Active
Practice location
300 Ark Ln
Petal, MS 39465-3606
Mailing address
4870 S Aspen Ct
Canfield, OH 44406-8469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 80205 (MS) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1508161597
Jla Senior Footcare MS LLC's National Provider Identifier is 1508161597, issued on Jan 21, 2011. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Petal, MS. The record was last updated on Jan 21, 2011.