| NPI | 1790876571 |
|---|---|
| Doing Business As | COEUR D ALENE FOOT AND ANKLE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN A ISHAM Podiatrist 208-666-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-12-10 |