| NPI | 1801269337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN WALTER WOOD Provider 760-416-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E4990) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2018-09-10 |