Individual provider · Type 1 NPI
Michael M. Fanous, D.p.m. , Inc.
Foot & Ankle Surgery Podiatrist · Victorville, CA
NPI number
1639115454
Active
Practice location
15366 11th St Ste D
Victorville, CA 92395-3726
Fax (760) 951-1473
Mailing address
2834 Hamner Ave
Norco, CA 92860-1929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E3544 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot & ankle surgery podiatrist providers in Victorville
About NPI 1639115454
Michael M. Fanous, D.p.m. , Inc.'s National Provider Identifier is 1639115454, issued on Jun 21, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Victorville, CA. The record was last updated on Aug 20, 2019.