NPI | 1285880005 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY MARIE MOXLEY Surgical Podiatrist 907-789-0405 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: AK 6398) |
Enumeration Date | 2008-08-12 |
Last Update Date | 2008-10-24 |