Coronado Foot Specialists Podiatry Clinic INC

NPI #1639399371 in Coronado, California

Provider Information

NPI Number: 1639399371
Entity Type: Organization
Organization Name: Coronado Foot Specialists Podiatry Clinic INC
Primary Specialty: Podiatrist - Foot Surgery
Enumeration Date: Apr 26, 2007
Last Updated: May 12, 2014

Practice Location

Address: 1121 10TH ST
City: Coronado
State: California
ZIP Code: 92118-3401
Phone: (619) 435-0151

Authorized Official

Name: DR. BRUCE ALAN MANCHEL, DPM
Title: PODIATRIST
Phone: (619) 435-0151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X	Primary

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