| NPI | 1114389459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T ELLSWORTH Podiatrist 480-310-6015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0786) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-05-02 |