Organization
HEEL TO TOE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD MACK DPM (PRESIDENT)
(708) 721-0387
Entity
Organization
Contact information
Practice address
5777 N FRESNO ST, SUITE 102, FRESNO, CA 93710-6065
(708) 721-0387
Mailing address
5777 N FRESNO ST, SUITE 102, FRESNO, CA 93710-6065
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5325
CA
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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