Organization
CONGRESS FOOT AND ANKLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS G HARRIS MD (MANAGING PHYSICIAN)
(626) 795-8051
Entity
Organization
Contact information
Practice address
800 S RAYMOND AVE, PASADENA, CA 91105-3229
(626) 795-8051
Mailing address
PO BOX 90730, PASADENA, CA 91109-0730
(626) 795-7035
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
A90250
CA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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