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Organization

PARKVIEW PODIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONIA SILVA (CREDENTIALING MANAGER)
(707) 349-3509
Entity
Organization

Contact information

Practice address
175 PARK ST, LAKEPORT, CA 95453-4803
(707) 263-9595
Mailing address
175 PARK ST, LAKEPORT, CA 95453-4803
(707) 263-9595

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E4707
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4707
CA

Other

Enumeration date
12/01/2017
Last updated
12/30/2025
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