| NPI | 1255504320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS SCHIFFGEN Owner 801-501-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: UT 1028650501) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-11-11 |