Organization
FOOTSTEPS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER FORMANEK DPM (PHYSICIAN)
(225) 756-0034
Entity
Organization
Contact information
Practice address
6141 PARKFOREST DR, BATON ROUGE, LA 70816-6111
(225) 756-0034
(225) 756-0708
Mailing address
6141 PARKFOREST DR, BATON ROUGE, LA 70816-6111
(225) 756-0034
(225) 756-0708
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD321R
LA
Other
Enumeration date
02/08/2007
Last updated
05/24/2021
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