| 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 |