Organization
MORSE K UPSHAW DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORSE KILBURN UPSHAW D.P.M. (CORP. PRESIDENT/PODIATRIST)
(626) 289-1080
Entity
Organization
Contact information
Practice address
2142 S FREMONT AVE, ALHAMBRA, CA 91803-4315
(626) 289-1080
(626) 289-1204
Mailing address
2142 S FREMONT AVE, ALHAMBRA, CA 91803-4315
(626) 289-1080
(626) 289-1204
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E2383
CA
213ES0131X
Foot Surgery Podiatrist
E2383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E23831
—
CA
Enumeration date
10/15/2007
Last updated
02/27/2008
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