| NPI | 1245648187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ALLEN SCUDDAY Dpm/Owner 915-533-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1149) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |