NPI | 1255871125 |
---|---|
Entity Type | Organization |
Authorized Contact | H. RAND TOLBOE CEO 209-525-3150 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2549) |
Enumeration Date | 2017-02-27 |
Last Update Date | 2022-10-07 |