| NPI | 1740488246 |
|---|---|
| Doing Business As | IMPRESSION FOOT & ANKLE |
| Entity Type | Organization |
| Authorized Contact | BRADLEY L NEWSWANDER Owner 480-840-3457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-06-23 |