NPI | 1366979460 |
---|---|
Doing Business As | MARSHALL FOOT CLINIC |
Entity Type | Organization |
Authorized Contact | DUSTIN GRIMMETT Podiatrist/Owner 256-571-8750 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: AL 327) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AL 327) |
Enumeration Date | 2017-05-19 |
Last Update Date | 2023-09-29 |