| NPI | 1336168517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON COLLIS Partner 760-328-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E38020) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E21580) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-11-21 |