Organization
ARTISAN FOOT AND ANKLE SPECIALIST, INC
Active
Parent organization
ARTISAN FOOT AND ANKLE SPECIALIST, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARTISAN FOOT AND ANKLE SPECIALIST, INC
Authorized official
DR. DEVON N. GLAZER DPM (PRESIDENT)
(949) 272-0007
Entity
Organization
Contact information
Practice address
22 ODYSSEY, IRVINE, CA 92618-3186
(949) 272-0007
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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