institution
Wolf Podiatry Corp
Foot Surgery Podiatrist in Poway, California
NPI 1497974190

Wolf Podiatry Corp is a Foot Surgery Podiatrist based in Poway, CA and is specialized in Foot Surgery. Wolf Podiatry Corp practices in Poway, CA. The NPI Number for Wolf Podiatry Corp is 1497974190 and holds a License No. E2161 (California).

The current practice location address for Wolf Podiatry Corp is 12630 Monte Vista Rd Ste 101, Poway, CA and can be reached out via phone at 858-451-2151 and via fax at 858-451-3097.

Location: 12630 Monte Vista Rd Ste 101, Poway, CA, 92064-2526
institution
Provider Profile Details
NPI Number
1497974190
Provider Name
Wolf Podiatry Corp
Credential
Provider Entity Type
Organization
Address
12630 Monte Vista Rd Ste 101, Poway, CA, 92064-2526
Phone Number
858-451-2151
Fax Number
858-451-3097
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E21613 05 CA
1124085006 01 CA NPI TYPE1
institution
Provider Business Practice Location Address Details
Address
12630 Monte Vista Rd Ste 101
City
State
Zip
92064-2526
Phone Number
858-451-2151
Fax Number
858-451-3097
person
Provider Business Mailing Address Details
Address
12630 Monte Vista Rd Ste 101
City
State
Zip
92064-2526
Phone Number
858-451-2151
Fax Number
858-451-3097
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
E2161 (California)
Definition
Definition to come...
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