| NPI | 1982809703 |
|---|---|
| Doing Business As | BOUNTIFUL FOOT & ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | CRAIG ALAN MCMANAMA President Doctor 801-966-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: UT 781028940501) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2008-06-30 |