| NPI | 1295839512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESH P DAULAT President 623-977-6245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: AZ 0547) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2010-06-09 |