Organization
ADVANCED FOOT AND ANKLE SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE SHRUM DPM (CEO)
(760) 674-3355
Entity
Organization
Contact information
Practice address
78-437 HWY 111, LA QUINTA, CA 92253
(760) 674-3355
(760) 771-5149
Mailing address
42-335 WASHINGTON F-338, PALM DESERT, CA 92211
(760) 674-3355
(760) 771-5149
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E-3589
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3589
CA
Other
Enumeration date
01/21/2008
Last updated
05/06/2013
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