| NPI | 1689418089 |
|---|---|
| Doing Business As | MT ROSE FOOT & ANKLE |
| Entity Type | Organization |
| Authorized Contact | DAVID ELLIS Dpm, Owner 775-358-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |