| NPI | 1538588405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE SOTA Manager 623-234-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 211D00000X Assistant, Podiatric (Licence: AZ 575) |
| Additional Taxonomies | 211D00000X Assistant, Podiatric (Licence: AZ 0727) |
| 211D00000X Assistant, Podiatric (Licence: AZ 0762) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |