| NPI | 1881097798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE K BOYD Owner 662-286-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN dpm0000000341) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |