Organization
H. RAND TOLBOE, D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD RAND TOLBOE D.P.M. (OWNER)
(209) 525-3150
Entity
Organization
Contact information
Practice address
1401 SPANOS CT, SUITE 104, MODESTO, CA 95355-2810
(209) 525-3150
(209) 525-3153
Mailing address
1401 SPANOS CT, SUITE 104, MODESTO, CA 95355-2810
(209) 525-3150
(209) 525-3153
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E25490
MEDICARE PTAN
CA
Enumeration date
01/31/2014
Last updated
01/31/2014
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