John W. Tam Podiatry Corp

NPI #1699765305 in Glendora, California

Provider Information

NPI Number: 1699765305
Entity Type: Organization
Organization Name: John W. Tam Podiatry Corp
Primary Specialty: Podiatrist
Enumeration Date: Oct 25, 2005
Last Updated: Feb 2, 2008

Practice Location

Address: 222 E ROUTE 66
City: Glendora
State: California
ZIP Code: 91740-6241
Phone: (626) 914-4661

Authorized Official

Name: DR. JOHN W TAM, D.P.M.
Title: PRESIDENT
Phone: (626) 914-4661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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