Organization
JONATHAN B PURDY DPM APMC
Active
Other names
The Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN B PURDY DPM (OWNER)
(337) 256-8494
Entity
Organization
Contact information
Practice address
200 S LEWIS ST, NEW IBERIA, LA 70560-3916
(337) 256-8494
(855) 896-3338
Mailing address
200 S LEWIS ST, NEW IBERIA, LA 70560-3916
(337) 256-8494
(855) 896-3338
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM.PD323R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5DV32
MEDICARE PTAN
LA
Enumeration date
10/03/2011
Last updated
07/27/2021
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