Organization
SUMMIT PODIATRY GROUP
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL ROBERT COULTER DPM. (OWNER)
(510) 832-1818
Entity
Organization
Contact information
Practice address
419 30TH ST, SUITE A, OAKLAND, CA 94609-3301
(510) 832-1818
(510) 832-1818
Mailing address
419 30TH ST, SUITE A, OAKLAND, CA 94609-3301
(510) 832-1818
(510) 832-1818
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E1727
CA
Other
Enumeration date
11/29/2006
Last updated
09/06/2023
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