| NPI | 1285054049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER NIEMANN Provider 480-917-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0672) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |