| NPI | 1245918242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ANTHONY PINEDO Owner 602-340-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-08-02 |