Organization
DIABLO MUIR PODIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M EBISUI DPM (OWNER)
(925) 634-9704
Entity
Organization
Contact information
Practice address
81 BOLLA AVE, ALAMO, CA 94507-1342
(925) 634-9704
(925) 634-5757
Mailing address
9030 BRENTWOOD BLVD, C, BRENTWOOD, CA 94513-4095
(925) 634-9704
(925) 634-5757
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E12380
CA
Other
Enumeration date
04/04/2007
Last updated
02/07/2008
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