Fallbrook Podiatry, Inc | |
407 Potter St Ste A, Fallbrook, CA 92028-3086 | |
(760) 728-4800 | |
(760) 728-0061 |
Full Name | Fallbrook Podiatry, Inc |
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Type | Facility |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 407 Potter St Ste A, Fallbrook, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861825523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | E4987 (California) | Primary |
Provider Name | Grigoriy Patish |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1609817535 PECOS PAC ID: 6709778616 Enrollment ID: I20120913000318 |
Mailing Address | Practice Location Address |
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Fallbrook Podiatry, Inc 407 Potter St Ste A, Fallbrook, CA 92028-3086 Ph: (760) 728-4800 | Fallbrook Podiatry, Inc 407 Potter St Ste A, Fallbrook, CA 92028-3086 Ph: (760) 728-4800 |
Dr. Grigoriy N Patish, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 407 Potter St Ste A, Fallbrook, CA 92028 Phone: 760-728-4800 Fax: 760-728-0061 | |
Frank J Witt, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1092 S Main Ave, Fallbrook, CA 92028 Phone: 760-728-4800 Fax: 760-728-0061 |