| NPI | 1679011209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY ALLEN BUSCH CEO 808-989-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA e5180) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |