Fallbrook Podiatry, INC
NPI #1861825523 in Fallbrook, California
Provider Information
- NPI Number
- 1861825523
- Entity Type
- Organization
- Organization Name
- Fallbrook Podiatry, INC
- Primary Specialty
- Podiatrist - Primary Podiatric Medicine
- Enumeration Date
- Aug 16, 2013
- Last Updated
- Mar 8, 2021
Practice Location
- Address
- 407 POTTER ST STE A
- City
- Fallbrook
- State
- California
- ZIP Code
- 92028-3086
- Phone
- (760) 728-4800
Authorized Official
- Name
- DR. GRIGORIY N PATISH, DPM
- Title
- OWNER/PROVIDER
- Phone
- (760) 728-4800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine |
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