NPI | 1811170749 |
---|---|
Doing Business As | ASHLEY VALLEY PODIATRY |
Entity Type | Organization |
Authorized Contact | HAROLD KIM JONES Pc 435-789-2062 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: UT 1066250501) |
Enumeration Date | 2007-12-13 |
Last Update Date | 2010-03-09 |