| NPI | 1528211364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREEN GABRIELLE COTA Dpm 602-432-7637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0644) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2018-03-12 |