| NPI | 1093221723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD A SQUIRE Owner/Partner 928-457-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 875) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2022-02-07 |