NPI | 1902018112 |
---|---|
Doing Business As | SOUTHWEST FOOT AND ANKLE CENTER PLC |
Entity Type | Organization |
Authorized Contact | ANDREW C STANISLAV Owner 712-623-5178 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |