| NPI | 1720533672 |
|---|---|
| Doing Business As | MARSHALL FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | DUSTIN GRIMMETT CEO 208-604-3387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AL 327) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AL 327) |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2023-09-29 |