| NPI | 1063550622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN ROBERT JOHNSON Owner 209-529-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E1406) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-01-18 |