NPI | 1972061430 |
---|---|
Doing Business As | FOOT AND ANKLE SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | VAFA N FERDOWSIAN Owner 501-327-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2019-03-04 |
Last Update Date | 2019-03-04 |