Organization
WOLF PODIATRY CORP
Active
Organization
WOLF PODIATRY CORP
Active
Other names
clifford wolf
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD J WOLF DPM (PHYSICIAN)
(858) 451-2151
Entity
Organization
Contact information
Practice address
12630 MONTE VISTA RD STE 101, POWAY, CA 92064-2526
(858) 451-2151
(858) 451-3097
Mailing address
12630 MONTE VISTA RD STE 101, POWAY, CA 92064-2526
(858) 451-2151
(858) 451-3097
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E2161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E21613
—
CA
01
—
1124085006
NPI TYPE1
CA
Enumeration date
04/24/2007
Last updated
03/04/2008
Update your record
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