NPI | 1639366412 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL W COX Manager / Podiatrist 623-935-5780 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0612) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2009-02-10 |