NPI | 1033314125 |
---|---|
Other Name | BOUNTIFUL FOOT & ANKLE CENTER |
Entity Type | Organization |
Authorized Contact | CRAIG ALAN MCMANAMA President Doctor 801-966-3556 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: UT 781028940501) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2008-06-18 |