| NPI | 1285947705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS STANLEY WILLIAMS Managing Member 208-785-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: ID P156) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2021-08-06 |