Organization
MIDWAY PODIATRY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARIS SERVATJOO DPM (DOCTOR OWNER)
(818) 995-4040
Entity
Organization
Contact information
Practice address
7217 CANBY AVE, RESEDA, CA 91335-3003
(818) 995-4040
(818) 996-3219
Mailing address
7217 CANBY AVE, RESEDA, CA 91335-3003
(818) 995-4040
(818) 996-3219
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3494
CA
Other
Enumeration date
03/20/2007
Last updated
12/18/2008
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