NPI | 1821134180 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD MARK SCHAFER Owner 760-819-9289 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3616) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-04-15 |