| NPI | 1124215876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY DOLORES GITERSONKE Office Manager 619-931-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003533) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2008-01-11 |