| NPI | 1720173149 |
|---|---|
| Doing Business As | ADVANCED FOOT & ANKLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LYNN LEWIS Office Manager 765-453-5892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-12-03 |