| NPI | 1356676449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK G MABEN Principal Officer 480-600-6231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AZ 0649) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |