| NPI | 1851578819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY M FABRIKANT President 619-465-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2013-06-19 |