Organization
TRAPOD LLC
Active
Parent organization
SOUTHAVEN FOOT CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHAVEN FOOT CLINIC
Authorized official
BRIAN SHWER DPM (PRESIDENT)
(662) 349-7333
Entity
Organization
Contact information
Practice address
564 GOODMAN RD E, SOUTHAVEN, MS 38671-9526
(662) 349-7333
Mailing address
564 GOODMAN RD E, SOUTHAVEN, MS 38671-9526
(662) 349-7333
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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