| NPI | 1518118017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON D DONALDSON Sole Owner 307-857-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WY 130) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2009-09-22 |