| NPI | 1639614647 |
|---|---|
| Doing Business As | WILKS ADVANCED FOOT CARE |
| Entity Type | Organization |
| Authorized Contact | G JASON WILKS Owner 541-673-0742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OR DP00318) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |