Organization
FOOTSTEPS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER FORMANEK DPM (PRESIDENT)
(225) 756-0034
Entity
Organization
Contact information
Practice address
2647 S RIVERVIEW BLVD, SUITE 316, GONZALES, LA 70737-5021
(225) 756-0034
(225) 756-0708
Mailing address
PO BOX 86124, BATON ROUGE, LA 70879-6124
(225) 756-0034
(225) 756-0708
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PD321R
LA
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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