Organization
MICHELE S COLON DPM A PROFESSIONAL PODIATRY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE SUMMERS COLON DPM (OWNER/PHYSICIAN)
(626) 442-1223
Entity
Organization
Contact information
Practice address
3503 LEXINGTON AVE, EL MONTE, CA 91731-2607
(626) 442-1223
(626) 442-0439
Mailing address
3503 LEXINGTON AVE, EL MONTE, CA 91731-2607
(626) 442-1223
(626) 442-0439
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E40530
—
CA
Enumeration date
02/29/2008
Last updated
12/09/2011
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