| 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 |