person
Dr. Gennady Kolodenker, DPM
Sports Medicine Podiatrist in Irvine, California
NPI 1659516151

Gennady Kolodenker is a Sports Medicine Podiatrist based in Irvine, CA and is specialized in Sports Medicine. Gennady Kolodenker practices in Irvine, CA and has the professional credentials of DPM. The NPI Number for Gennady Kolodenker is 1659516151 and holds a License No. E4880 (California).

The current practice location address for Gennady Kolodenker is 16405 Sand Canyon Ave, Irvine, CA and can be reached out via phone at 949-651-1202 and via fax at 949-552-9493. You can also correspond with Gennady Kolodenker through the mailing address at 16405 SAND CANYON AVE, IRVINE, CA - 92618-3785 (mailing address contact number: 949-651-1202).

Location: 16405 Sand Canyon Ave, Irvine, CA, 92618-3785
person
Provider Profile Details
NPI Number
1659516151
Provider Name
Gennady Kolodenker
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
16405 Sand Canyon Ave, Irvine, CA, 92618-3785
Phone Number
949-651-1202
Fax Number
949-552-9493
Provider Enumeration Date
12/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16405 Sand Canyon Ave
City
State
Zip
92618-3785
Phone Number
949-651-1202
Fax Number
949-552-9493
person
Provider Business Mailing Address Details
Address
16405 Sand Canyon Ave
City
State
Zip
92618-3785
Phone Number
949-651-1202
Fax Number
949-552-9493
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
E4880 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4880 (California)
Definition
Definition to come...
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