Organization
PINOLE PODIATRY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D GRIMES DPM (CEO)
(510) 724-1530
Entity
Organization
Contact information
Practice address
2150 APPIAN WAY STE 206, PINOLE, CA 94564-2520
(510) 724-1530
Mailing address
2150 APPIAN WAY STE 206, PINOLE, CA 94564-2520
(510) 724-1530
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4413
CA
Other
Enumeration date
10/25/2012
Last updated
05/07/2020
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