| NPI | 1477746501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG FIELDS Office Manager 209-572-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |