NPI | 1710204540 |
---|---|
Doing Business As | PREMIER PODIATRY AND ORTHOPEDICS |
Entity Type | Organization |
Authorized Contact | GAVIN PATRICK RIPP President 916-961-3434 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E1358) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A116074) |
Enumeration Date | 2010-05-04 |
Last Update Date | 2020-03-09 |