| NPI | 1407031016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT ROEDER President 480-507-7560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AZ AZ497) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2016-02-22 |