| NPI | 1629169008 |
|---|---|
| Doing Business As | WEST RIVER FOOT AND ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES LONG CEO 701-567-6184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-03-28 |