Organization
PACIFIC FOOT & ANKLE SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GODDARD DPM (PRESIDENT)
(714) 542-0656
Entity
Organization
Contact information
Practice address
1125 E 17TH ST, SUITE E-107, SANTA ANA, CA 92701-2201
(714) 542-0656
(714) 542-5059
Mailing address
1125 E 17TH ST, SUITE E-107, SANTA ANA, CA 92701-2201
(714) 542-0656
(714) 542-5059
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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