NPI | 1396002887 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL ROBERT MAYO Owner 559-636-3668 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4211) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2012-04-20 |