NPI | 1306092812 |
---|---|
Doing Business As | ROCKY MOUNTAIN FOOT AND ANKLE |
Entity Type | Organization |
Authorized Contact | KELLY ALLAN GOMEZ Owner/President 801-375-6677 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: UT 367951) |
Enumeration Date | 2008-08-15 |
Last Update Date | 2009-07-02 |