Foot Specialists Of Shreveport Apmc

NPI 1710079306 - Podiatrist - 213E00000X

NPI Details
NPI 1710079306
Enumeration Date 09/29/2006
Last Updated 04/09/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JERRY JERRY
Position CEO
Phone (318) 213-3668
Fax (318) 213-3670
Practice Location
7821 YOUREE DRIVE
SHREVEPORT LA, 71105, US
Phone (318) 213-3668
Fax (318) 213-3670
Business Location
7821 YOUREE DRIVE
SHREVEPORT LA, 71105, US
Phone (318) 213-3668
Fax (318) 213-3670
Toxanomy
Taxonomy Code 213E00000X
License State
License Number
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According to our database, Foot Specialists Of Shreveport Apmc NPI is 1710079306, taxonomy code is 213E00000X Foot Specialists Of Shreveport Apmc physically located at 7821 Youree Drive, Shreveport LA, 71105. NPI Number 1033115704 has the healthcare provider type.

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1710079306 NPI number is provided on an as is basis without warranty of any kind. 1710079306 is maintained by the National Plan & Provider Enumeration System. The contents of Foot Specialists Of Shreveport Apmc are for informational purposes only.