Organization
DESERT PODIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELDON COLLIS D.P.M. (PARTNER)
(760) 328-4669
Entity
Organization
Contact information
Practice address
69730 HIGHWAY 111, SUITE 101, RANCHO MIRAGE, CA 92270-2869
(760) 328-4669
(760) 328-6719
Mailing address
69730 HIGHWAY 111, SUITE 101, RANCHO MIRAGE, CA 92270-2869
(760) 328-4669
(760) 328-6719
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
E21580
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E38020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E21852
—
CA
05
—
000E38020
—
CA
Enumeration date
07/19/2006
Last updated
11/21/2008
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