| NPI | 1922543925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD HAYMAN Owner/Manager 928-776-9428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AZ 216) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AZ 216) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2019-09-09 |