| 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 |