Organization · Type 2 NPI
Petaluma Surgicenter
Podiatric Clinic/Center · Petaluma, CA
NPI number
1326259276
Active
Practice location
1400 Professional Dr, Suite 102
Petaluma, CA 94954-5110
Fax (707) 769-0751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | 110000263 (CA) |
Podiatric Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1326259276
Petaluma Surgicenter's National Provider Identifier is 1326259276, issued on May 24, 2007. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Petaluma, CA. The record was last updated on Jan 10, 2013.