| NPI | 1447421904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. DUCKWITZ President 307-362-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WY 119) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-21 |