| NPI | 1598197857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUI MIN CHRISTENSEN Office Manager 208-235-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: ID P-166) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: ID p-166) |
| 213ER0200X Podiatrist, Radiology (Licence: ID P-166) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: ID P-166) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ID P-166) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: ID P-166) | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |