NPI | 1124747563 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL GIBBS Owner 435-615-8822 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207Q00000X Family Medicine |
213E00000X Podiatrist | |
Enumeration Date | 2022-08-26 |
Last Update Date | 2022-08-26 |