| NPI | 1053791509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS W GRANDY Podiatrist 916-548-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: CA E3293) |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2017-08-22 |