| NPI | 1497086508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLE M WYGAL Billing 480-917-4974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0112) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |