NPI | 1053502252 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL MENDOZA President 615-452-8899 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN DPM442) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2011-01-25 |