NPI | 1457847964 |
---|---|
Doing Business As | ADVANCED FOOT & ANKLE CENTER |
Entity Type | Organization |
Authorized Contact | SCOTT A CLARK Md 801-505-5277 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 106339-0501) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2020-04-21 |