Healthcare Provider Details

I. General information

NPI: 1912937830
Provider Name (Legal Business Name): CHRISTOPHER PAIGE SEGLER D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 06/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 W PORTAL AVE SUITE 332
SAN FRANCISCO CA
94127-1423
US

IV. Provider business mailing address

236 W PORTAL AVE SUITE 332
SAN FRANCISCO CA
94127-1423
US

V. Phone/Fax

Practice location:
  • Phone: 415-308-0833
  • Fax: 877-800-1825
Mailing address:
  • Phone: 415-308-0833
  • Fax: 877-800-1825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE4866
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: