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 |