Organization
THE FOOT AND ANKLE CLINICS, LLC
Active
Other names
The Foot and Ankle Clinic of West Monroe, LLC, The Foot and Ankle Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR RECORD CCMA (CREDENTIALING COORDINATOR)
(318) 397-1574
Entity
Organization
Contact information
Practice address
3601 DESIARD ST, MONROE, LA 71203-4352
(318) 397-1574
(318) 397-1672
Mailing address
3601 DESIARD ST, MONROE, LA 71203-4352
(318) 397-1574
(318) 397-1672
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2372726
—
LA
Enumeration date
05/05/2020
Last updated
10/07/2025
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