| NPI | 1659696821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA URIBE Credentialing Coordinator 520-872-7265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0585) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |