| NPI | 1407426497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI CROSS Co Owner 360-990-0716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-08-04 |