Organization
FOOT AND ANKLE CLINIC OF NORTHERN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN ROBERT STODDARD DPM (PRESIDENT)
(530) 342-5621
Entity
Organization
Contact information
Practice address
676 E 1ST AVE, SUITE 9, CHICO, CA 95926-3547
(530) 342-5621
(530) 342-6506
Mailing address
676 E 1ST AVE, SUITE 9, CHICO, CA 95926-3547
(530) 342-5621
(530) 342-6506
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4852
CA
Other
Enumeration date
09/29/2010
Last updated
12/11/2012
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