Organization
VALLEY FOOT & ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PAYNE (OFFICE MANAGER)
(801) 815-6862
Entity
Organization
Contact information
Practice address
104 MARGARET LN STE A, GRASS VALLEY, CA 95945-5261
(530) 648-1234
(530) 648-1235
Mailing address
104 MARGARET LN STE A, GRASS VALLEY, CA 95945-5261
(530) 648-1234
(530) 648-1235
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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