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Organization
FOOT ANKLE & LOWER LEG SPECIALISTS
Active
Organization
FOOT ANKLE & LOWER LEG SPECIALISTS
Active
Other names
FOOT ANKLE & LOWER LEG SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YILMA KEBEDE KEBELO MD, DPM (PRESIDENT)
(408) 829-2904
Entity
Organization
Contact information
Practice address
660 E SANTA CLARA ST, SAN JOSE, CA 95112-1931
(669) 977-0200
(669) 333-3310
Mailing address
660 E SANTA CLARA ST, SAN JOSE, CA 95112-1931
(669) 977-0200
(669) 333-3310
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
10/26/2022
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