NPI | 1407047608 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER BUTLER President 208-667-3585 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ID P-195) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2024-02-08 |