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Organization
ADVANCED FOOT AND ANKLE SPECIALISTS, INC.
Active
Organization
ADVANCED FOOT AND ANKLE SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE SHRUM DPM (CEO)
(760) 674-3355
Entity
Organization
Contact information
Practice address
78-437 HWY 111, LA QUINTA, CA 92253
(760) 674-3355
(760) 771-5149
Mailing address
42-335 WASHINGTON F-338, PALM DESERT, CA 92211
(760) 674-3355
(760) 771-5149
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E-3589
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3589
CA
Other
Enumeration date
01/21/2008
Last updated
05/06/2013
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