| NPI | 1972710010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD L. THOMPSON President 480-812-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AZ 0578) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-08-03 |