| NPI | 1598048837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD L WIEBE President 928-226-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0076) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |