| NPI | 1588614705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BJORN YNGVAR LAWSON Owner/President 480-926-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: AZ 638) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-12-12 |