| NPI | 1902177751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MAYO Podiatrist 559-636-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4122) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2022-09-15 |