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Organization
FOOT SPECIALISTS OF NORTH CONUNTY PODIATRY GROUP,INC.
Active
Organization
FOOT SPECIALISTS OF NORTH CONUNTY PODIATRY GROUP,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD VANDERHEYDEN D.P.M. (PRESIDENT/SECRETARY)
(760) 724-5560
Entity
Organization
Contact information
Practice address
1011 S SANTA FE AVE, SUITE F, VISTA, CA 92083-6917
(760) 724-5560
(760) 724-6052
Mailing address
1011 S SANTA FE AVE, SUITE F, VISTA, CA 92083-6917
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E-3486
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E-34860
—
CA
Enumeration date
04/21/2008
Last updated
04/21/2008
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