Organization
CARRASCO PODIATRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETE CARRASCO JR. D.P.M. (DOCTOR OF PODIATRIC MEDICINE)
(951) 212-6661
Entity
Organization
Contact information
Practice address
7196 SUNNYSIDE PL, RANCHO CUCAMONGA, CA 91739-5995
(951) 212-6661
(909) 987-3292
Mailing address
PO BOX 4347, RANCHO CUCAMONGA, CA 91729-4347
(951) 212-6661
(909) 987-3292
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3608
CA
Other
Enumeration date
03/28/2007
Last updated
11/11/2012
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