| NPI | 1184168916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON THOMAS CROUGH Podiatrist 760-507-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5290) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |