| NPI | 1760413421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL T. BOWEN Owner/Physician 623-848-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2016-03-16 |