NPI | 1710955745 |
---|---|
Doing Business As | FLEGAL CLINIC, LLC |
Entity Type | Organization |
Authorized Contact | DOUGLAS CLARK FLEGAL Manager 801-266-3113 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 102232-0501) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2012-08-28 |