Step Up Podiatry Professional Corporation | |
1350 Medical Center Dr, Ste B, Rohnert Park, CA 94928-2932 | |
(707) 586-9300 | |
Not Available |
Full Name | Step Up Podiatry Professional Corporation |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1350 Medical Center Dr, Rohnert Park, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902280928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E34090 (California) | Primary |
Provider Name | Ameha T Joba |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1043506140 PECOS PAC ID: 1153591250 Enrollment ID: I20160818001148 |
Mailing Address | Practice Location Address |
---|---|
Step Up Podiatry Professional Corporation 1350 Medical Center Dr, Ste B, Rohnert Park, CA 94928-2932 Ph: (707) 586-9300 | Step Up Podiatry Professional Corporation 1350 Medical Center Dr, Ste B, Rohnert Park, CA 94928-2932 Ph: (707) 586-9300 |
Dr. Ameha Teklu Joba, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1350 Medical Center Dr, Ste B, Rohnert Park, CA 94928 Phone: 707-586-9300 | |
Ameha T. Joba,dpm, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1350 Medical Center Dr, Rohnert Park, CA 94928 Phone: 707-586-9300 | |
Mr. Thomas M Fitzgerald, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1350 Medical Center Drive, Ste B, Rohnert Park, CA 94928 Phone: 707-586-9300 Fax: 707-586-1252 |