| NPI | 1053893347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZANA REYZELMAN Delegated Official 415-680-0871 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2019-12-17 |