# STEP UP PODIATRY PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1902280928
- **Authorized official:** DR. THOMAS MICHAEL FITZGERALD DPM (OWNER)
- **Authorized official phone:** (707) 586-9300

## Contact information

- **Practice address:** 1350 MEDICAL CENTER DR, STE B, ROHNERT PARK, CA 94928-2932
- **Practice address phone:** (707) 586-9300
- **Mailing address:** 1350 MEDICAL CENTER DR, STE B, ROHNERT PARK, CA 94928-2932
- **Mailing address phone:** (707) 586-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E34090 | CA | Yes |

## Other

- **Enumeration date:** 07/20/2015
- **Last updated:** 07/20/2015