NPI | 1518537919 |
---|---|
Doing Business As | ADVANCED FOOT AND ANKLE CENTER |
Entity Type | Organization |
Authorized Contact | SCOTT A CLARK Dpm Owner 801-505-5277 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2021-06-28 |
Last Update Date | 2021-06-28 |