NPI | 1609296326 |
---|---|
Doing Business As | CALEB EDWIN ROBERTS SOLE MBR |
Entity Type | Organization |
Authorized Contact | CALEB ROBERTS Owner 208-709-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ID CS35833) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2014-07-02 |