Organization
FOOT SPECIALISTS OF SHREVEPORT
Active
Other names
Foot Specialists of Shreveport Bossier
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLI A FULFORD (OFFICE MANAGER)
(318) 213-3668
Entity
Organization
Contact information
Practice address
7821 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 213-3668
(318) 213-3670
Mailing address
7821 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 213-3668
(318) 213-3670
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
06/19/2008
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