| NPI | 1093081101 |
|---|---|
| Doing Business As | ADVANCED FOOT AND ANKLE |
| Entity Type | Organization |
| Authorized Contact | SCOTT CLARK President 801-505-5277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2019-05-21 |