| NPI | 1750775037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY ANN GILLROY-GILL Podiatrist 623-238-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: WA PO 60507941) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2016-05-25 |