| NPI | 1821761743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT B WELLS CEO/President 559-228-5429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0131X Podiatrist Foot Surgery | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2022-02-14 |