| NPI | 1023549987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL EDWARD CHRISTENSON Podiatrist 559-917-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E-3885) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |