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Organization

ALTERNATIVE FOOT CLINIC APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA DAVIS (OFFICE MANAGER)
(225) 928-7065
Entity
Organization

Contact information

Practice address
4560 NORTH BLVD STE 119, BATON ROUGE, LA 70806-4043
(225) 928-7065
(225) 928-7021
Mailing address
4560 NORTH BLVD STE 119, BATON ROUGE, LA 70806-4043
(225) 928-7065
(225) 928-7021

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PD068R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1359891
LA
01
4358090820
BLUE CROSS BLUE SHIELD
LA
Enumeration date
02/26/2008
Last updated
04/20/2008
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