| NPI | 1346541117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS K REBER Owner 928-779-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AZ AZ0659) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2011-10-28 |