NPI | 1033441423 |
---|---|
Former Legal Business Name | MANX QUAYLE, DPM LLC |
Entity Type | Organization |
Authorized Contact | MANX D QUAYLE Dpm/Owner 907-456-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: AK 5079) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: AK 939216) |
213E00000X Podiatrist (Licence: AK 8164) | |
Enumeration Date | 2010-02-09 |
Last Update Date | 2015-06-11 |