Individual provider · Type 1 NPI
Jason Marshall Hiatt, DPM
Foot & Ankle Surgery Podiatrist · Modesto, CA
NPI number
1760580310
Active
Practice location
1401 Spanos Ct, Suite 104
Modesto, CA 95355-2810
Fax (209) 525-3153
Mailing address
PO Box 4512
Walnut Creek, CA 94596-0512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | E4350 (CA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E4350 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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- David I. Wells, DPMFoot & Ankle Surgery Podiatrist Modesto, CA NPI 1720041957
- Brent Christopher Ricks, DPMFoot & Ankle Surgery Podiatrist Modesto, CA NPI 1821309295
About NPI 1760580310
Jason Marshall Hiatt, DPM's National Provider Identifier is 1760580310, issued on Sep 20, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Modesto, CA. The record was last updated on Apr 24, 2009.