| 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 |