Humboldt Foot & Ankle Pc | |
1730 Main St, Fortuna, CA 95540-2467 | |
(707) 725-5223 | |
Not Available |
Full Name | Humboldt Foot & Ankle Pc |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1730 Main St, Fortuna, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508422015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Provider Name | Ali Dimitri Deyhim |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1851590012 PECOS PAC ID: 7810180429 Enrollment ID: I20191115000911 |
Mailing Address | Practice Location Address |
---|---|
Humboldt Foot & Ankle Pc 1730 Main St, Fortuna, CA 95540-2467 Ph: (707) 725-5223 | Humboldt Foot & Ankle Pc 1730 Main St, Fortuna, CA 95540-2467 Ph: (707) 725-5223 |
Neil R Kelley, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1730 Main St, Fortuna, CA 95540 Phone: 707-725-5223 Fax: 707-725-2756 | |
Family Foot Care Specialists Podiatry Center Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1730 Main St, Fortuna, CA 95540 Phone: 707-725-5223 Fax: 707-725-2756 | |
Ali Deyhim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1730 Main St, Fortuna, CA 95540 Phone: 707-725-5223 |