NPI | 1639448244 |
---|---|
Entity Type | Organization |
Authorized Contact | CAREY A BLEDSOE President/Chief Executive Officer 909-946-6643 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2011-12-28 |
Last Update Date | 2011-12-28 |