Berkeley Foot Clinic Podiatry Group a Professional Corporation

NPI #1639472301 in Berkeley, California

Provider Information

NPI Number: 1639472301
Entity Type: Organization
Organization Name: Berkeley Foot Clinic Podiatry Group a Professional Corporation
Primary Specialty: Preferred Provider Organization
Enumeration Date: Dec 17, 2010
Last Updated: May 6, 2014

Practice Location

Address: 3000 COLBY ST STE 104
City: Berkeley
State: California
ZIP Code: 94705-2090
Phone: (510) 849-3800

Authorized Official

Name: DR. MARK E WOLPA, DPM
Title: PRESIDENT/ OWNER
Phone: (510) 849-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preferred Provider Organization	305R00000X	Primary

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