| NPI | 1013374388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN B CLEMENT Owner 520-836-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 593) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2017-01-18 |