| NPI | 1851109318 |
|---|---|
| Doing Business As | WAVES FOOT AND ANKLE |
| Entity Type | Organization |
| Authorized Contact | BRANDON SLADE CEO 805-925-8703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |