| NPI | 1184047813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD RAND TOLBOE Owner 209-525-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2549) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |