| NPI | 1407300619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN JUDD Co President 602-882-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MT 44408) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MT 44493) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2021-06-21 |