Organization
ROBERT J. VALLONE, D.P.M., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J VALLONE D.P.M. (PRESIDENT)
(619) 295-9494
Entity
Organization
Contact information
Practice address
3363 4TH AVE, SAN DIEGO, CA 92103-5703
(619) 295-9494
(619) 295-9714
Mailing address
3363 4TH AVE, SAN DIEGO, CA 92103-5703
(619) 295-9494
(619) 295-9714
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E2715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E27150
—
CA
Enumeration date
12/14/2006
Last updated
08/01/2008
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