| NPI | 1366758104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY THOMAS LOO Owner 602-321-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0502) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2016-05-19 |