| NPI | 1730800897 |
|---|---|
| Doing Business As | MADISON FOOT AND ANKLE |
| Entity Type | Organization |
| Authorized Contact | RACHEL GONZALES Chief Executive Officer 208-359-6900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-10-23 |