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 |