is a Primary Podiatric Medicine in San Jose, California. practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for is 1740392208. The last update date is .
's current location address is 660 E Santa Clara St, San Jose, California. You can contact this provider via phone number 4084995888. The mailing address for is 660 E Santa Clara St, San Jose, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 660 E Santa Clara St, San Jose, California |
Phone Number | 4084995888 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1740392208 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 660 E Santa Clara St |
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City | San Jose |
State | California (CA) |
Post Code | 951121931 |
Phone Number | 4084995888 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Primary Podiatric Medicine |
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Taxonomy | 213Ep1101X |
Licence No | E4689 |
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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000E46890 | CA | -- |
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