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Dr. Jason Marshall Hiatt, DPM
Foot & Ankle Surgery Podiatrist in Modesto, California
NPI 1760580310

Jason Marshall Hiatt is a Foot & Ankle Surgery Podiatrist based in Walnut Creek, CA and is specialized in Foot & Ankle Surgery. Jason Marshall Hiatt practices in Modesto, CA and has the professional credentials of DPM. The NPI Number for Jason Marshall Hiatt is 1760580310 and holds a License No. E4350 (California).

The current practice location address for Jason Marshall Hiatt is 1401 Spanos Ct, Modesto, CA and can be reached out via phone at 209-525-3150 and via fax at 209-525-3153.

Location: 1401 Spanos Ct, Modesto, CA, 94596-0512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760580310
Provider Name
Jason Marshall Hiatt
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1401 Spanos Ct, Modesto, CA, 94596-0512
Phone Number
209-525-3150
Fax Number
209-525-3153
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E43500 01 CA BLUE SHIELD
000E43500 05 CA
480033874 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1401 Spanos Ct
City
Modesto
State
California
Zip
95355-2810
Phone Number
209-525-3150
Fax Number
209-525-3153
person
Provider Business Mailing Address Details
Address
1401 Spanos Ct
City
Modesto
State
California
Zip
95355-2810
Phone Number
209-525-3150
Fax Number
209-525-3153
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
E4350 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
E4350 (California)
Definition
Definition to come...
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