| NPI | 1215713300 |
|---|---|
| Doing Business As | MOUNTAIN HOME PODIATRY |
| Entity Type | Organization |
| Authorized Contact | KEVIN D STEFFEN Dpm 870-580-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2025-01-16 |