Individual provider · Type 1 NPI
Nicole Marie Surdock, D.P.M.
Primary Podiatric Medicine Podiatrist · Watsonville, CA
NPI number
1174674436
Active
Practice location
47 Penny Ln, Suite 1
Watsonville, CA 95076-6055
Mailing address
102 Pebble Beach Ct
Aptos, CA 95003-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | E4802 (CA) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | EL 1671 (CA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
2 other providers at this address
Other primary podiatric medicine podiatrist providers in Watsonville
About NPI 1174674436
Nicole Marie Surdock, D.P.M.'s National Provider Identifier is 1174674436, issued on Jan 15, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Watsonville, CA. The record was last updated on Feb 7, 2012.