Organization
STEP UP PODIATRY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MICHAEL FITZGERALD DPM (OWNER)
(707) 586-9300
Entity
Organization
Contact information
Practice address
1350 MEDICAL CENTER DR, STE B, ROHNERT PARK, CA 94928-2932
(707) 586-9300
Mailing address
1350 MEDICAL CENTER DR, STE B, ROHNERT PARK, CA 94928-2932
(707) 586-9300
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E34090
CA
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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