NPI | 1669459962 |
---|---|
Doing Business As | EXTREMITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RICHARD PAUL JACOBY Owner 480-994-5977 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: AZ 00084) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2023-04-20 |