Organization
WAYNE L DOROTHY DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE LESTER DOROTHY (DPM)
(909) 797-0111
Entity
Organization
Contact information
Practice address
12055 CALIFORNIA ST, YUCAIPA, CA 92399-3849
(909) 797-0113
Mailing address
12055 CALIFORNIA ST, YUCAIPA, CA 92399-3849
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1374
CA
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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