| NPI | 1780882522 |
|---|---|
| Doing Business As | MFA PODIATRY |
| Entity Type | Organization |
| Authorized Contact | REBECCA SHAW CEO 209-723-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2014-07-15 |