| Brentwood Foot And Ankle Clinic, Inc. | |
|
71 Sand Creek Rd Ste L Brentwood CA 94513-7319 | |
| (925) 634-1009 | |
| (925) 634-8262 |
| Full Name | Brentwood Foot And Ankle Clinic, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 71 Sand Creek Rd Ste L, Brentwood, California |
| Authorized Official Name and Position | Nathan Richard Randall (PRESIDENT) |
| Authorized Official Contact | 9256341009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Foot And Ankle Clinic, Inc. 71 Sand Creek Rd Ste L Brentwood CA 94513-7319 Ph: (925) 634-1009 | Brentwood Foot And Ankle Clinic, Inc. 71 Sand Creek Rd Ste L Brentwood CA 94513-7319 Ph: (925) 634-1009 |
| NPI Number | 1326182866 |
|---|---|
| Provider Enumeration Date | 02/17/2007 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326182866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | E4095 (California) | Primary |
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