| NPI | 1104083369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILONA EVZEN SIGLOVA Practice Manager 480-909-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2025-05-06 |