| NPI | 1649585472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA L. THOMS Managing Employee 623-584-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: AZ 0658) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |