| NPI | 1164876629 |
|---|---|
| Doing Business As | MGH FAMILY HEALTH ANKLE & FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERIC MOLL CEO 360-427-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2017-04-14 |