Organization
STEVEN K. SHOEMAKER, DPM AND ASSOCIATES, INC.
Active
Other names
PODIATRY AND ANKLE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SHOEMAKER DPM (PRESIDENT)
(916) 781-3223
Entity
Organization
Contact information
Practice address
1421 SECRET RAVINE PKWY, SUITE 111, ROSEVILLE, CA 95661-6045
(916) 781-3223
(916) 781-8174
Mailing address
1421 SECRET RAVINE PKWY, SUITE 111, ROSEVILLE, CA 95661-6045
(916) 781-3223
(916) 781-8174
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE4469
RAIL ROAD MEDICARE GROUP #
CA
01
—
ZZZ18662Z
BLUE SHIELD
CA
Enumeration date
10/16/2007
Last updated
04/09/2013
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