Organization
GODFREY F. MIX, D.P.M., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GODFREY FREDERICK MIX D.P.M. (OWNER)
(916) 732-2277
Entity
Organization
Contact information
Practice address
5025 J ST, SUITE 316, SACRAMENTO, CA 95819-3839
(916) 732-2277
(916) 732-2280
Mailing address
5025 J ST, SUITE 316, SACRAMENTO, CA 95819-3839
(916) 732-2277
(916) 732-2280
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1227
CA
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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