| NPI | 1033325097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RICHARD GORMAN CEO 623-934-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0069) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |