Organization · Type 2 NPI
Grandy Podiatry Group
Primary Podiatric Medicine Podiatrist · Sacramento, CA
NPI number
1053791509
Active
Practice location
730 46th St
Sacramento, CA 95819-3149
Fax (209) 473-1405
Mailing address
PO Box 191513
Sacramento, CA 95819-7513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | E3293 (CA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1053791509
Grandy Podiatry Group's National Provider Identifier is 1053791509, issued on May 30, 2015. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Sacramento, CA. The record was last updated on Aug 22, 2017.