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NPI Profile for FOOT SPECIALIST OF ACADIANA in NEW IBERIA, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1710925052 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/02/2006 | |
| Last updated | 04/01/2009 - About 17 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FOOT SPECIALIST OF ACADIANA
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FOOT SPECIALIST OF ACADIANA