| NPI | 1710470950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SHANE MOORE Owner 480-241-9848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0802) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |