person
Dr. Allen Jerome Degrandmont, DPM
Foot & Ankle Surgery Podiatrist in Costa Mesa, California
NPI 1962450833

Allen Jerome Degrandmont is a Foot & Ankle Surgery Podiatrist based in Costa Mesa, CA and is specialized in Foot & Ankle Surgery. Allen Jerome Degrandmont practices in Costa Mesa, CA and has the professional credentials of DPM. The NPI Number for Allen Jerome Degrandmont is 1962450833 and holds a License No. E1767 (California).

The current practice location address for Allen Jerome Degrandmont is 188 E 17Th St, Costa Mesa, CA and can be reached out via phone at 949-646-7110 and via fax at 949-646-3957.

Location: 188 E 17Th St, Costa Mesa, CA, 92627-3763
person
Provider Profile Details
NPI Number
1962450833
Provider Name
Allen Jerome Degrandmont
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
188 E 17Th St, Costa Mesa, CA, 92627-3763
Phone Number
949-646-7110
Fax Number
949-646-3957
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
188 E 17Th St
City
State
Zip
92627-3763
Phone Number
949-646-7110
Fax Number
949-646-3957
person
Provider Business Mailing Address Details
Address
188 E 17Th St
City
State
Zip
92627-3763
Phone Number
949-646-7110
Fax Number
949-646-3957
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E1767 (California)
Definition
Definition to come...
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