| NPI | 1952122418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FERGUSON Podiatrist 602-790-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |