NPI | 1700471653 |
---|---|
Other Name | CIC CENTERS - PARADISE VALLEY |
Entity Type | Organization |
Authorized Contact | JOEL R. RAINWATER CEO, Cmo 480-374-7354 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 207Q00000X Family Medicine |
2085R0204X Radiology, Vascular & Interventional Radiology | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
213ES0131X Podiatrist, Foot Surgery | |
Enumeration Date | 2021-03-03 |
Last Update Date | 2021-03-03 |