| NPI | 1902907504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M MARTINEZ Office Manager 623-546-4930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AZ DPM358) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-01-31 |