| NPI | 1952596991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ROSALES Owner 928-774-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AZ 0608) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2011-01-12 |