NPI | 1801156401 |
---|---|
Doing Business As | LEDESMA FOOT & ANKLE |
Entity Type | Organization |
Authorized Contact | KATHY HOLT Billing Manager 928-477-2238 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0695) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ 0701) |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2012-05-17 |
Last Update Date | 2024-09-04 |