| NPI | 1982749917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEYMAN A ELISON President 623-584-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 0517) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-04-20 |