| 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 |