NPI | 1184612335 |
---|---|
Former Legal Business Name | WEAVER PODIATRY CLINIC |
Entity Type | Organization |
Authorized Contact | BROOKE WEAVER Practice Administrator 316-269-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Enumeration Date | 2005-10-12 |
Last Update Date | 2022-05-02 |