| NPI | 1851796338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSTY SPARKMAN Biller 916-640-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4913) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |