NPI | 1609354034 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHANNA MARIE RICHEY Owner 602-432-1274 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AZ 883) |
Enumeration Date | 2018-07-28 |
Last Update Date | 2019-04-16 |