| NPI | 1437202041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER ALAN JOHNSON Owner 559-734-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E1210) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2010-02-10 |