| NPI | 1053305862 |
|---|---|
| Doing Business As | DESERT PODIATRY |
| Entity Type | Organization |
| Authorized Contact | ROBERT B GRZYWACZ Owner 702-733-7617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NV 793965375) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2008-05-23 |