NPI | 1972875524 |
---|---|
Doing Business As | ADVANCED FOOT AND ANKLE |
Entity Type | Organization |
Authorized Contact | SCOTT A CLARK President 801-505-5277 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2012-01-29 |
Last Update Date | 2020-04-21 |