NPI | 1447306964 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL GODDARD Owner 949-833-3406 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E1371) |
Additional Taxonomies | 213E00000X Podiatrist |
Enumeration Date | 2007-01-26 |
Last Update Date | 2022-06-17 |