NPI | 1497135800 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT E ADAMS Owner 805-481-0881 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3834) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA E3834) |
Enumeration Date | 2015-06-02 |
Last Update Date | 2015-06-03 |