| NPI | 1982886701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC W NELSON President 510-351-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2453) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2010-04-16 |