NPI | 1871075168 |
---|---|
Entity Type | Organization |
Authorized Contact | ROZANA REYZELMAN Delegated Official 415-680-0871 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2018-09-04 |
Last Update Date | 2021-08-28 |