| NPI | 1679007819 | 
|---|---|
| Doing Business As | ADVANCED FOOT AND ANKLE CENTER | 
| Entity Type | Organization | 
| Authorized Contact | JARED DEE MCPHIE Dpm 801-373-2499  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 95424340501)  | 
| Enumeration Date | 2017-04-14 | 
| Last Update Date | 2021-03-11 |