NPI | 1225332026 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID M BATES Owner 623-243-5737 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0592) |
Enumeration Date | 2011-01-07 |
Last Update Date | 2011-03-24 |