| NPI | 1891112678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BLYTHE President 415-577-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4637) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |