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Organization
COASTAL PODIATRY INC
Active
Organization
COASTAL PODIATRY INC
Active
Other names
Coastal Podiatry Inc
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JAY NORMAN DPM (CHIEF EXECUTIVE OFFICER)
(805) 773-3668
Entity
Organization
Contact information
Practice address
2 JAMES WAY STE 109, PISMO BEACH, CA 93449-4974
(805) 773-3668
(805) 773-1043
Mailing address
2 JAMES WAY STE 109, PISMO BEACH, CA 93449-4974
(805) 773-3668
(805) 773-1043
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/28/2023
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