| NPI | 1790041887 |
|---|---|
| Doing Business As | MEMORIAL PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | ERIC R. HUBBARD President 562-426-5151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-09 |