Individual provider · Type 1 NPI
Grigoriy N. Patish, DPM
Primary Podiatric Medicine Podiatrist · Fallbrook, CA
NPI number
1609817535
Active
Practice location
407 Potter St Ste A
Fallbrook, CA 92028-3086
Fax (760) 728-0061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | N005980 (NY) |
| Podiatrist | 213E00000X | 25MD00298800 (NJ) |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | E4987 (CA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
Another provider at this address
About NPI 1609817535
Grigoriy N. Patish, DPM's National Provider Identifier is 1609817535, issued on Jun 10, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Fallbrook, CA. The record was last updated on Mar 31, 2021.