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Russell D Dedini, MD
Orthopedic Foot and Ankle Surgery Physician in San Mateo, California
NPI 1528396579

Russell D Dedini is a Orthopedic Foot and Ankle Surgery Physician based in San Mateo, CA and is specialized in Foot and Ankle Surgery. Russell D Dedini practices in San Mateo, CA and has the professional credentials of MD. The NPI Number for Russell D Dedini is 1528396579 and holds a License No. (California).

The current practice location address for Russell D Dedini is 77 N San Mateo Dr, San Mateo, CA and can be reached out via phone at 650-342-0854. You can also correspond with Russell D Dedini through the mailing address at 77 N SAN MATEO DR, SAN MATEO, CA - 94401-2889 (mailing address contact number: 650-342-0854).

Location: 77 N San Mateo Dr, San Mateo, CA, 94401-2889
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528396579
Provider Name
Russell D Dedini
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
77 N San Mateo Dr, San Mateo, CA, 94401-2889
Phone Number
650-342-0854
Fax Number
Provider Enumeration Date
12/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1528396579 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
77 N San Mateo Dr
City
San Mateo
State
California
Zip
94401-2889
Phone Number
650-342-0854
Fax Number
person
Provider Business Mailing Address Details
Address
77 N San Mateo Dr
City
San Mateo
State
California
Zip
94401-2889
Phone Number
650-342-0854
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
207XX0004X
License No.
A110297 (California)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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