| NPI | 1487749818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD LEE HAYMAN Owner 928-774-9428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ AZ0216) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-05-27 |