| NPI | 1689052482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK ANDREW HARVEY President 209-823-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5204) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-21 |