| NPI | 1922671775 |
|---|---|
| Former Legal Business Name | ADVANCED FOOT AND ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT A CLARK Partner 801-505-5277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |