| NPI | 1861508541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN COUCH Owner/Podiatrist 623-322-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0552) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-02-26 |