| NPI | 1740165679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS YETTER Owner 480-390-8436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |