| NPI | 1528470457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN S WESSEL President 520-882-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: AZ DPM0367) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-29 |