NPI | 1386185650 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVON GLAZER Owner 949-272-0007 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2017-03-20 |
Last Update Date | 2024-08-01 |