Organization
BATON ROUGE FOOT CARE , PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIF S RICHARDSON DPM (ADMINISTRATOR)
(225) 763-7770
Entity
Organization
Contact information
Practice address
8160 YMCA PLAZA DR STE C, BATON ROUGE, LA 70810-0916
(225) 763-7770
(225) 763-7773
Mailing address
8160 YMCA PLAZA DR STE C, BATON ROUGE, LA 70810-0916
(225) 763-7770
(225) 763-7773
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PD317R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1369691
—
LA
Enumeration date
04/11/2007
Last updated
10/17/2013
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