| NPI | 1578569646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER BOWEN HENINGER Dpm 435-881-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2025-02-21 |