| NPI | 1790795698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERRI M MACGREGOR Medical Practice Consultant 925-786-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-05-31 |