Organization
CORONADO FOOT SPECIALISTS PODIATRY CLINIC INC
Active
Organization
CORONADO FOOT SPECIALISTS PODIATRY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ALAN MANCHEL DPM (PODIATRIST)
(619) 435-0151
Entity
Organization
Contact information
Practice address
1121 10TH ST, CORONADO, CA 92118-3401
(619) 435-0151
(619) 435-9316
Mailing address
1121 10TH ST, CORONADO, CA 92118-3401
(619) 435-0151
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E2930
CA
Other
Enumeration date
04/26/2007
Last updated
05/12/2014
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