Organization
SMITH-BURKE PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS MARILUCH (OFFICE MANAGER)
(714) 991-3333
Entity
Organization
Contact information
Practice address
14642 NEWPORT AVE, SUITE 105, TUSTIN, CA 92780-6057
(714) 505-5000
Mailing address
1761 W ROMNEYA DR, SUITE E, ANAHEIM, CA 92801-1816
(714) 991-3333
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2588
CA
Other
Enumeration date
04/21/2010
Last updated
12/07/2010
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