SOUTHSIDE FOOT CLINIC OF SHREVEPORT INC A PROFESSIONAL CORPORATION

NPI # 

Practice Address:

9308 Mansfield Rd , Suite 300

Shreveport, LA, 71118-3134

Practice Phone:

318-687-6266

Practice Fax:

318-683-1023

License Number:

33

License State:

LA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Ambulatory Surgical

Taxonomy Code:

261QA1903X