# CAREY A. BLEDSOE, D.P.M., A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639448244
- **Authorized official:** DR. CAREY A BLEDSOE DPM, MS, FACFAS (PRESIDENT/CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (909) 946-6643

## Contact information

- **Practice address:** 901 SAN BERNARDINO RD, SUITE 104, UPLAND, CA 91786-4912
- **Practice address phone:** (909) 946-6643
- **Practice address fax:** (909) 946-6130
- **Mailing address:** 901 SAN BERNARDINO RD, SUITE 104, UPLAND, CA 91786-4912
- **Mailing address phone:** (909) 946-6643
- **Mailing address fax:** (909) 946-6130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2011
- **Last updated:** 12/28/2011
