NPI | 1275766354 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD LEE HAYMAN Owner 623-584-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0216) |
Enumeration Date | 2009-08-24 |
Last Update Date | 2009-08-24 |