| NPI | 1386384790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG KENYON UDALL Podiatrist 623-248-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2024-06-04 |