| NPI | 1770357279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER BOWEN HENINGER Owner 435-881-4494 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2025-06-24 |