| NPI | 1134560097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DUGGAN President 928-726-6295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0763) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2016-05-03 |