Organization
BRENTWOOD FOOT AND ANKLE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN RICHARD RANDALL D.P.M. (PRESIDENT)
(925) 634-1009
Entity
Organization
Contact information
Practice address
71 SAND CREEK RD STE L, BRENTWOOD, CA 94513-7319
(925) 634-1009
(925) 634-8262
Mailing address
71 SAND CREEK RD STE L, BRENTWOOD, CA 94513-7319
(925) 634-1009
(925) 634-8262
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
E4095
CA
Other
Enumeration date
02/17/2007
Last updated
11/06/2008
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