# AUR PODIATRY DPM INC

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

## Provider details

- **NPI number:** 1790201077
- **Authorized official:** RADIN AUR DPM (PODIATRIST)
- **Authorized official phone:** (847) 406-9192

## Contact information

- **Practice address:** 1810 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207-8110
- **Practice address phone:** (209) 952-1612
- **Practice address fax:** (209) 952-1631
- **Mailing address:** 1810 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207-8110
- **Mailing address phone:** (209) 952-1612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E5265 | CA | Yes |

## Other

- **Enumeration date:** 08/17/2017
- **Last updated:** 02/27/2020