| NPI | 1215494539 | 
|---|---|
| Doing Business As | COMMUNITY FOOT AND ANKLE, INC. | 
| Entity Type | Organization | 
| Authorized Contact | SUE L MARTIN Credentialer 173-408-8400 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 213E00000X Podiatrist | 
| Enumeration Date | 2019-02-22 | 
| Last Update Date | 2019-02-22 |