| NPI | 1730181751 |
|---|---|
| Former Legal Business Name | CAPITAL FOOT CENTER INCORPORATED |
| Entity Type | Organization |
| Authorized Contact | JOHN J TENNITY Physician 402-483-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2017-07-05 |