NPI | 1063769297 |
---|---|
Entity Type | Organization |
Authorized Contact | DON GILBERT Owner 208-339-4355 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: ID P-64) |
Enumeration Date | 2012-08-07 |
Last Update Date | 2012-08-07 |