| NPI | 1336317551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE W KRELL President 480-807-8532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AZ AZ00316) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |