Organization
MINDEN FOOT CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L PROUTY (PRESIDENT)
(318) 377-1128
Entity
Organization
Contact information
Practice address
603 FLEMING LN, MINDEN, LA 71055-3073
(318) 377-1128
(318) 377-6893
Mailing address
603 FLEMING LN, MINDEN, LA 71055-3073
(318) 377-1128
(318) 377-6893
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442844
—
LA
Enumeration date
10/24/2006
Last updated
06/24/2008
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