NPI | 1598035917 |
---|---|
Doing Business As | FOOT & ANKLE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | PHILIP BURK Owner 208-459-0891 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2012-01-02 |
Last Update Date | 2012-04-26 |