| NPI | 1902644594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL R. RAINWATER Cmo 480-374-7354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |