NPI 1336471838

Family Foot and Ankle Clinic

Organisation Podiatrist Shreveport, LA

Practice location

Address: 3626 Youree Dr, Shreveport, LA 71105-2122
Phone: (318) 869-2960
Fax: (318) 869-2958

Authorised official

Name: Edozie Chukwudinma Okereke
Title: Podiatrist
Phone: (318) 869-2960

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence PD196R (LA)

Other Podiatrist providers in Louisiana →

Registry record

NPI: 1336471838
Entity type: Organization
NPI issued: 8 Feb 2010
Record last updated: 3 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.