| 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 |