NPI | 1952660763 |
---|---|
Doing Business As | ADVANCED FOOT & ANKLE |
Entity Type | Organization |
Authorized Contact | TAWNA H GOULDING Administrator 801-475-5239 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: UT 8015238-0501) |
Enumeration Date | 2012-05-14 |
Last Update Date | 2012-07-06 |