| NPI | 1417509597 |
|---|---|
| Doing Business As | FAYETTEVILLE PODIATRY |
| Entity Type | Organization |
| Authorized Contact | AUSTIN KRAMER Owner 208-830-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |