NPI | 1588606990 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT ERIC EULANO Physician/President 480-735-9508 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: AZ 0421) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0421) |
213ES0131X Podiatrist, Foot Surgery (Licence: AZ 0421) | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2024-06-18 |