NPI | 1154965051 |
---|---|
Doing Business As | WILES FOOT AND ANKLE LLC |
Entity Type | Organization |
Authorized Contact | MICHAEL TODD WILES Physician 423-760-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
Enumeration Date | 2019-11-04 |
Last Update Date | 2020-09-24 |