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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