| NPI | 1043874878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS DINUCCI Physician 480-342-9999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center Podiatric |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-06-11 |