Organization
SEASIDE FOOT AND ANKLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLIN SMITH DPM (PRESIDENT)
(760) 390-2942
Entity
Organization
Contact information
Practice address
15706 POMERADO RD STE S-102, POWAY, CA 92064
(858) 485-1494
Mailing address
15706 POMERADO RD STE S-102, POWAY, CA 92064-2067
(760) 390-2942
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5268
CA
Other
Enumeration date
07/06/2017
Last updated
01/24/2024
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