| NPI | 1255410312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL E BURNS Podiatrist 831-646-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E2225) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E2225) |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: CA E2225) | |
| 213ES0000X Podiatrist Sports Medicine (Licence: CA E2225) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-11-26 |