Individual
RUSSELL WILLIAM PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
6483 SIERRA LN, DUBLIN, CA 94568-2797
(925) 820-0220
Mailing address
6483 SIERRA LN, DUBLIN, CA 94568-2797
(925) 820-0220
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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