| NPI | 1346425329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODFREY FREDERICK MIX Owner 916-732-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E1227) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |