| NPI | 1346496056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL GLODOWSKI Preisent/Owner 805-531-1089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4616) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E4616) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2014-09-17 |