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Organization
THE FOOT SPECIALIST OF SULPHUR APC
Active
Organization
THE FOOT SPECIALIST OF SULPHUR APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICKEY L PESHOFF DPM (PRESIDENT)
(337) 625-7604
Entity
Organization
Contact information
Practice address
101 ADVENT ST, SULPHUR, LA 70663-4027
(337) 625-7604
(337) 625-7606
Mailing address
101 ADVENT ST, SULPHUR, LA 70663-4027
(337) 625-7604
(337) 625-7606
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD217R
LA
Other
Enumeration date
12/09/2005
Last updated
08/22/2020
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