| NPI | 1639419112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUCE G TOLMAN Physician/ Provider 208-529-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ID p93) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |