NPI | 1023361862 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKE GIFFORD Doctor 805-444-8424 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4889) |
Enumeration Date | 2012-10-17 |
Last Update Date | 2012-10-17 |