| NPI | 1306024120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE G TOLMAN Owner 208-529-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ID p93) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-03-06 |