Organization
FOOTHILL PODIATRY CLINIC OF GRASS VALLEY INC
Active
Other names
Foothill Podiatry of Grass Valley, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH CONNIE COOK (BILLER)
(530) 477-7200
Entity
Organization
Contact information
Practice address
152 CATHERINE LN STE F, GRASS VALLEY, CA 95945-5756
(530) 477-7200
(530) 477-1246
Mailing address
152 CATHERINE LN STE F, GRASS VALLEY, CA 95945-5756
(530) 477-7200
(530) 477-1246
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740290865
—
CA
Enumeration date
08/09/2006
Last updated
11/12/2021
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