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Organization
TRAPOD LLC
Active
Organization
TRAPOD LLC
Active
Parent organization
SOUTHAVEN FOOT CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHAVEN FOOT CLINIC
Authorized official
BRIAN SHWER DPM (PRESIDENT)
(662) 349-7333
Entity
Organization
Contact information
Practice address
564 GOODMAN RD E, SOUTHAVEN, MS 38671-9526
(662) 349-7333
Mailing address
564 GOODMAN RD E, SOUTHAVEN, MS 38671-9526
(662) 349-7333
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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