K2 Foot Services LLC

NPI #1497361539 in Sheridan, Wyoming

Provider Information

NPI Number
1497361539
Entity Type
Organization
Organization Name
K2 Foot Services LLC
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Sep 23, 2020
Last Updated
Nov 20, 2020

Practice Location

Address
1309 COFFEEN AVE STE 1200
State
Wyoming
ZIP Code
82801-5777
Phone
(801) 441-2719

Authorized Official

Name
DR. STANTON MILLER SMITH, DPM
Title
PHYSICIAN/OWNER
Phone
(801) 441-2719

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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