| NPI | 1922379379 |
|---|---|
| Doing Business As | MT. HOOD PODIATRY THE DALLES |
| Entity Type | Organization |
| Authorized Contact | VERONICA LUNDMARK Biller 503-228-7106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |