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Organization
STEP UP PODIATRY PROFESSIONAL CORPORATION
Active
Organization
STEP UP PODIATRY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MICHAEL FITZGERALD DPM (OWNER)
(707) 586-9300
Entity
Organization
Contact information
Practice address
1350 MEDICAL CENTER DR, STE B, ROHNERT PARK, CA 94928-2932
(707) 586-9300
Mailing address
1350 MEDICAL CENTER DR, STE B, ROHNERT PARK, CA 94928-2932
(707) 586-9300
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E34090
CA
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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