| NPI | 1528431715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WEISS Owner 623-214-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 450) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |