| NPI | 1740953934 |
|---|---|
| Doing Business As | PREMIER CARE PODIATRY |
| Entity Type | Organization |
| Authorized Contact | LESLIE BAEZA Owner 215-289-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-08-23 |