| NPI | 1013256106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL RODRIGUEZ Physician Owner/Manager 605-274-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SD 209) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2025-02-20 |