| NPI | 1902907504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M MARTINEZ Office Manager 623-546-4930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2086S0129X Surgery, Vascular Surgery | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-01-31 |