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Dr. Nicole Marie Surdock, DPM
Foot & Ankle Surgery Podiatrist in Watsonville, California
NPI 1174674436

Nicole Marie Surdock is a Foot & Ankle Surgery Podiatrist based in Aptos, CA and is specialized in Foot & Ankle Surgery. Nicole Marie Surdock practices in Watsonville, CA and has the professional credentials of DPM. The NPI Number for Nicole Marie Surdock is 1174674436 and holds a License No. E4802 (California).

The current practice location address for Nicole Marie Surdock is 47 Penny Ln, Watsonville, CA and can be reached out via phone at 831-728-8844.

Location: 47 Penny Ln, Watsonville, CA, 95003-5724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174674436
Provider Name
Nicole Marie Surdock
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
47 Penny Ln, Watsonville, CA, 95003-5724
Phone Number
831-728-8844
Fax Number
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EL 1671 01 CA D.P.M. RESIDENT'S LICENSE
E 4802 01 CA CALIFORNIA STATE LICENSE- DOCOTR OF PODIATRIC MEDICINE AND ANKLE SURGERY
institution
Provider Business Practice Location Address Details
Address
47 Penny Ln
City
Watsonville
State
California
Zip
95076-6055
Phone Number
831-728-8844
Fax Number
person
Provider Business Mailing Address Details
Address
47 Penny Ln
City
Watsonville
State
California
Zip
95076-6055
Phone Number
831-728-8844
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
EL 1671 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
E4802 (California)
Definition
Definition to come...
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