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Todd C Self, Dpm, Inc
Durable Medical Equipment & Medical Supplies in Sonora, California
NPI 1972781953

Todd C Self, Dpm, Inc is a Durable Medical Equipment & Medical Supplies based in Sonora, CA. Todd C Self, Dpm, Inc practices in Sonora, CA. The NPI Number for Todd C Self, Dpm, Inc is 1972781953 and holds a License No. E3690 (California).

The current practice location address for Todd C Self, Dpm, Inc is 940 Sylva Lane Ste. E,, Sonora, CA and can be reached out via phone at 209-533-3996 and via fax at 209-533-3998.

Location: 940 Sylva Lane Ste. E,, Sonora, CA, 95370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972781953
Provider Name
Todd C Self, Dpm, Inc
Credential
Provider Entity Type
Organization
Address
940 Sylva Lane Ste. E,, Sonora, CA, 95370
Phone Number
209-533-3996
Fax Number
209-533-3998
Provider Enumeration Date
02/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E36900 05 CA
institution
Provider Business Practice Location Address Details
Address
940 Sylva Lane Ste. E,
City
Sonora
State
California
Zip
95370
Phone Number
209-533-3996
Fax Number
209-533-3998
person
Provider Business Mailing Address Details
Address
940 Sylva Lane Ste. E,
City
Sonora
State
California
Zip
95370
Phone Number
209-533-3996
Fax Number
209-533-3998
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
E3690 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
E3690 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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