NPI | 1962708792 |
---|---|
Doing Business As | MANSFIELD FOOT AND ANKLE |
Entity Type | Organization |
Authorized Contact | JOE SOUTHERLAND Dpm/Owner 817-467-1990 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2011-01-26 |
Last Update Date | 2018-08-29 |