| NPI | 1972834984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA REGISTER Senior Vice President 520-872-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0546) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: 0585) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 647) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0666) | |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-08-04 |