NPI | 1255509154 |
---|---|
Former Legal Business Name | TOOELE FOOT CLINIC |
Entity Type | Organization |
Authorized Contact | KIM ALBERT HALLADAY President 435-882-0711 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: 103966-0501) |
Enumeration Date | 2008-02-13 |
Last Update Date | 2009-09-23 |