person
Madison Ravine, DPM
Foot & Ankle Surgery Podiatrist in San Diego, California
NPI 1679102800

Madison Ravine is a Foot & Ankle Surgery Podiatrist based in San Diego, CA and is specialized in Foot & Ankle Surgery. Madison Ravine practices in San Diego, CA and has the professional credentials of DPM. The NPI Number for Madison Ravine is 1679102800 and holds a License No. 1516 (California).

The current practice location address for Madison Ravine is 3405 Kenyon St Ste 502, San Diego, CA and can be reached out via phone at 619-225-9601.

Location: 3405 Kenyon St Ste 502, San Diego, CA, 92110-5008
person
Provider Profile Details
NPI Number
1679102800
Provider Name
Madison Ravine
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
3405 Kenyon St Ste 502, San Diego, CA, 92110-5008
Phone Number
619-225-9601
Fax Number
Provider Enumeration Date
04/08/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3405 Kenyon St Ste 502
City
State
Zip
92110-5008
Phone Number
619-225-9601
Fax Number
person
Provider Business Mailing Address Details
Address
3405 Kenyon St Ste 502
City
State
Zip
92110-5008
Phone Number
619-225-9601
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
1516 (Massachusetts)
Definition
Definition to come...
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