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Individual

DR. WILLIAM GERALD GOLDBLATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
322 N SAN DIMAS AVE, SAN DIMAS, CA 91773-2601
(909) 592-4438
(909) 592-4439
Mailing address
322 N SAN DIMAS AVE, SAN DIMAS, CA 91773-2601
(909) 592-4438
(909) 592-4439

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2896
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E28960
CA
Enumeration date
03/10/2006
Last updated
02/16/2010
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