| NPI | 1972783025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SHERMAN BLOCHER CEO 480-200-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: AZ 0359) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2010-04-15 |