| NPI | 1205427267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHAR MAHZOON Owner/Physician 762-444-6035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-03-02 |