| NPI | 1740836642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY SMITH CEO 602-633-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207X00000X Orthopaedic Surgery | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2020-01-23 |