| NPI | 1225883838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY THOMAS Member 623-512-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |