| NPI | 1811367535 |
|---|---|
| Doing Business As | SOUTHWEST FOOT AND ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREW C STANISLAV Owner 712-623-5178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |