NPI | 1194837658 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK B ROPER CEO Podiatrist 307-778-7666 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WY W59) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2014-03-28 |