| NPI | 1003125600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN ROBERT STODDARD President 530-342-5621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E4852) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2012-12-11 |