| NPI | 1710471529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY THOMAS Owner 623-512-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0768) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2022-08-01 |