| NPI | 1154996999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ROBERT HAMMOND Managing Member 801-850-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2023-09-11 |