| NPI | 1538340716 |
|---|---|
| Doing Business As | CONCORD FOOT & ANKLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A QUIST Dpm 574-875-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IN 07000924a) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2016-06-30 |