| NPI | 1548441389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER HAROLD JOLLEY Provider/Owner 858-560-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E1540) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |