NPI | 1245410059 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT THOMAS EVANS Owner/President 480-895-0276 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AZ 0605) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2015-05-22 |