| NPI | 1548564412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON J GILBERT Owner 208-339-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: ID P-64) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |