Organization Name: | STEVEN L. GINEX, DPM INC |
NPI Number: | 1033389572 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN LOUIS GINEX (OWNER) |
Mailing Address: | 74050 Alessandro Dr Suite A Palm Desert |
State: | CA US |
Postal Code: | 922603705 |
Phone Number: | 7603403232 |
Fax Number: | 7607761424 |
NPI Enumeration Date: | 03/11/2008 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E3893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |