NPI | 1619762887 |
---|---|
Doing Business As | FOOT SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | BRUCE TOPPIN Corporate Secretary 662-377-4229 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-04-10 |