Individual provider · Type 1 NPI

Blair Moyle Jolley, DPM

Foot & Ankle Surgery Podiatrist · Panorama City, CA

NPI number 1366737728 Active

Practice location

13652 Cantara St
Panorama City, CA 91402-5423

Fax (818) 375-3201

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE5135 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1366737728

Blair Moyle Jolley, DPM's National Provider Identifier is 1366737728, issued on Jun 14, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Panorama City, CA. The record was last updated on Dec 1, 2021.