| NPI | 1023086113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON J KIM Owner 602-995-1169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: AZ 00571) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |