NPI | 1912194085 |
---|---|
Other Name | AMBULATORY FOOT AND ANKLE CLINIC |
Doing Business As | AMBULATORY FOOT AND ANKLE CLINIC |
Entity Type | Organization |
Authorized Contact | KOREE GODFREY Credentialing 208-233-4355 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ID P-82) |
Enumeration Date | 2007-10-02 |
Last Update Date | 2021-03-18 |