NPI | 1275867228 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL N DURRANT Physician/Owner 909-793-2379 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E1514) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2011-03-22 |