Individual
DR. ANDY ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1300 W LODI AVE STE W, LODI, CA 95242-3037
(209) 334-6664
Mailing address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5929
CA
Other
Enumeration date
06/26/2019
Last updated
07/27/2023
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