Organization
PHILIP WROTSLAVSKY, DPM, A PROFESSIONAL CORPORATION
Active
Other names
Advanced Foot and Ankle Center of San Diego
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP WROTSLAVSKY DPM (CEO)
(888) 451-3770
Entity
Organization
Contact information
Practice address
15525 POMERADO RD, SUITE E-6, POWAY, CA 92064-2435
(888) 451-3770
(888) 600-8694
Mailing address
PO BOX 13613, LA JOLLA, CA 92039-3613
(888) 451-3770
(888) 600-8694
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
E4717
CA
261QP1100X
Podiatric Clinic/Center
Primary
E4717
CA
Other
Enumeration date
07/30/2007
Last updated
09/23/2008
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