Geriatric Podiatry Medical Group Inc.
NPI #1598832172 in San Dimas, California
Provider Information
- NPI Number
- 1598832172
- Entity Type
- Organization
- Organization Name
- Geriatric Podiatry Medical Group Inc.
- Primary Specialty
- Podiatrist - Public Medicine
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Dec 16, 2014
Practice Location
- Address
- 425 W BONITA AVE STE 110
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-2543
- Phone
- (909) 599-0981
Authorized Official
- Name
- WILLIAM H TABB, DPM
- Title
- OWNER
- Phone
- (909) 599-0981
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Public Medicine — Public Medicine |
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