| NPI | 1285218750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY FERRULLI Office Manager 602-993-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2022-02-16 |