| NPI | 1407145568 |
|---|---|
| Doing Business As | ANKLE AND FOOT SPECIALISTS OF SOUTHERN OREGON |
| Entity Type | Organization |
| Authorized Contact | JUSTIN THEO JOHNSON Director 541-482-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR dp00440) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2013-08-19 |