Organization · Type 2 NPI
High Desert Foot & Ankle Clinic A
Foot & Ankle Surgery Podiatrist · Victorville, CA
NPI number
1104204775
Active
Practice location
15366 11th St, Suite A
Victorville, CA 92395-3726
Fax (760) 951-1611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E3966 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1104204775
High Desert Foot & Ankle Clinic A's National Provider Identifier is 1104204775, issued on May 14, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Victorville, CA. The record was last updated on Jun 25, 2024.