NPI | 1649563347 |
---|---|
Doing Business As | ROCKY MOUNTAINT FOOT & ANKLE |
Entity Type | Organization |
Authorized Contact | P ROMAN BURK Owner 208-855-5955 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ID P197) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: ID P197) |
Enumeration Date | 2011-05-27 |
Last Update Date | 2022-09-13 |