| NPI | 1649710310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE P COFFEY Owner 480-892-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 265) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2019-10-16 |