DR. Wade Tyler Chimerofsky, DPM

NPI #1174018287 in Thousand Oaks, California

Provider Information

NPI Number: 1174018287
Entity Type: Individual
Name: DR. Wade Tyler Chimerofsky, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist - Foot & Ankle Surgery
Credential: DPM
Enumeration Date: Jun 30, 2018
Last Updated: Mar 15, 2023

Practice Location

Address: 425 HAALAND DR STE 201
City: Thousand Oaks
State: California
ZIP Code: 91361-5231
Phone: (805) 496-2383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X	Primary

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