| NPI | 1194387290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON CASK Administrator 916-512-6262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |