| NPI | 1073970059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA T HUSTON Initial Member 520-906-7904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0683) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-06-30 |