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Organization

FOOT PAIN CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HIEU TU VUONG D.P.M. (MEMBER)
(225) 293-0068
Entity
Organization

Contact information

Practice address
3851 S SHERWOOD FOREST BLVD, STE. 360, BATON ROUGE, LA 70816-4361
(225) 293-0068
(225) 293-0018
Mailing address
3851 S SHERWOOD FOREST BLVD, STE. 360, BATON ROUGE, LA 70816-4361
(225) 293-0068
(225) 293-0018

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
PD225R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1542466
LA
Enumeration date
06/23/2009
Last updated
02/01/2010
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