| NPI | 1760600621 |
|---|---|
| Doing Business As | MEMORIAL PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | MILLIE K HUBBARD Officer And Shareholder 562-426-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: CA E1294) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-04-23 |