| NPI | 1508642604 |
|---|---|
| Doing Business As | MOUNTAIN HOME PODIATRY |
| Entity Type | Organization |
| Authorized Contact | KEVIN D STEFFEN Dpm 870-580-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-10-26 |