| Organization Name: | FOOT AND ANKLE CLINIC OF NORTHERN |
| NPI Number: | 1003125600 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SEAN ROBERT STODDARD (PRESIDENT) |
| Mailing Address: | 676 E 1st Ave Suite 9 Chico |
| State: | CA US |
| Postal Code: | 959263547 |
| Phone Number: | 5303425621 |
| Fax Number: | 5303426506 |
| NPI Enumeration Date: | 09/29/2010 |
| NPI Last Update Date: | 12/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E4852 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |