NPI | 1780794644 |
---|---|
Doing Business As | GAVILAN FOOT CARE |
Entity Type | Organization |
Authorized Contact | JACK FISHER Owner/Physician 408-842-0281 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E1702) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2014-08-27 |