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James W Breedlove, DPM
Foot Surgery Podiatrist in Morro Bay, California
NPI 1417941907

James W Breedlove is a Foot Surgery Podiatrist based in Morro Bay, CA and is specialized in Foot Surgery. James W Breedlove practices in Morro Bay, CA and has the professional credentials of DPM. The NPI Number for James W Breedlove is 1417941907 and holds a License No. E3976 (California).

The current practice location address for James W Breedlove is 275 Marina St, Morro Bay, CA and can be reached out via phone at 805-543-3025 and via fax at 805-543-2740.

Location: 275 Marina St, Morro Bay, CA, 93442-2244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417941907
Provider Name
James W Breedlove
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
275 Marina St, Morro Bay, CA, 93442-2244
Phone Number
805-543-3025
Fax Number
805-543-2740
Provider Enumeration Date
09/09/2005
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480021688 01 CA RAILROAD MEDICARE
000E39760 05 CA
institution
Provider Business Practice Location Address Details
Address
275 Marina St
City
Morro Bay
State
California
Zip
93442-2244
Phone Number
805-543-3025
Fax Number
805-543-2740
person
Provider Business Mailing Address Details
Address
275 Marina St
City
Morro Bay
State
California
Zip
93442-2244
Phone Number
805-543-3025
Fax Number
805-543-2740
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
E3976 (California)
Definition
Definition to come...
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