Organization · Type 2 NPI
Providence Podiatry Care, Inc
Foot & Ankle Surgery Podiatrist · San Bernardino, CA
NPI number
1376202986
Active
Practice location
473 E Carnegie Drive, Suite 200
San Bernardino, CA 92408
Fax (909) 495-1380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1376202986
Providence Podiatry Care, Inc's National Provider Identifier is 1376202986, issued on Dec 10, 2021. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 21, 2023.