Organization
SOUTHERN PODIATRY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID P ALLEN D.P.M. (OWNER)
(985) 215-5618
Entity
Organization
Contact information
Practice address
537 KENTUCKY AVE STE B, BOGALUSA, LA 70427-3913
(985) 215-5618
(985) 732-0100
Mailing address
537 KENTUCKY AVE STE B, BOGALUSA, LA 70427-3913
(985) 215-5618
(985) 732-0100
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
DPM.200052
LA
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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