| NPI | 1245410059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T EVANS Provider 928-474-9242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0605) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2025-12-16 |