| NPI | 1568710598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC M DASH Member 307-266-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WY 135) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |