| NPI | 1477152452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYNN JEANNE PETERS Credentialer 480-296-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |