NPI | 1518972215 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN FREDERICK ONEILL President 909-622-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3029) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2013-05-16 |