Organization
PELICAN PODIATRY AND SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE PATRON (CLINIC OWNER)
(504) 441-5555
Entity
Organization
Contact information
Practice address
613 WILLIAMS BLVD, KENNER, LA 70062-7635
(504) 441-5555
Mailing address
613 WILLIAMS BLVD, KENNER, LA 70062-7635
(504) 441-5555
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM00327.R
LA
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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