| NPI | 1730350422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE D WEINER Practice Manager 707-643-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3880) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2012-03-02 |