| NPI | 1629043252 |
|---|---|
| Doing Business As | PARK CENTER FOOT & ANKLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALYSSA BARBER Biller 208-387-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: ID P142) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2023-11-13 |