| NPI | 1245751932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER SPARKMAN Biller 916-640-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4913) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-07-21 |