Organization
D VANG DPM APMC
Active
Other names
Ambulatory Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID VANG DPM (PHYSICIAN)
(985) 893-3524
Entity
Organization
Contact information
Practice address
1010 W 21ST AVE, COVINGTON, LA 70433
(985) 893-3524
(985) 893-9877
Mailing address
1010 W 21ST AVE, COVINGTON, LA 70433
(985) 893-3524
(985) 893-9877
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM200001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1369683
—
LA
05
—
1479829
—
LA
01
—
DE0253
RAILROAD MEDICARE GROUP #
LA
Enumeration date
01/31/2006
Last updated
12/07/2009
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