Individual
JON NORDGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1816
(831) 477-2325
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3367
CA
Other
Enumeration date
01/23/2006
Last updated
08/22/2013
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