Foot Specialists of Shreveport
NPI #1396950580 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1396950580
- Entity Type
- Organization
- Organization Name
- Foot Specialists of Shreveport
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- May 11, 2007
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 7821 YOUREE DR
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71105-5505
- Phone
- (318) 213-3668
Authorized Official
- Name
- MRS. KELLI A FULFORD
- Title
- OFFICE MANAGER
- Phone
- (318) 213-3668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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