| NPI | 1891115838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MILLER President 925-207-2951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4801) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-05-07 |