Organization Name: | NAPA FOOT AND ANKLE INC. |
NPI Number: | 1033534607 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SKY SHANKS (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 935 Trancas St 2c Napa |
State: | CA US |
Postal Code: | 945582932 |
Phone Number: | 7072590766 |
Fax Number: | 7072590183 |
NPI Enumeration Date: | 02/19/2014 |
NPI Last Update Date: | 06/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E5106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |