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NPI Code Detail

MEDICARE: MICHELE S COLON DPM A PROFESSIONAL PODIATRY CORP

MEDICARE: MICHELE S COLON DPM A PROFESSIONAL PODIATRY CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristE4053CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538339973
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHELE S COLON DPM A PROFESSIONAL PODIATRY CORP
Provider Business Mailing Address
First Line : 3503 LEXINGTON AVE
Second Line :
City : EL MONTE
State : CA
Zip : 91731-2607
Country : US
Telephone Number : 626-442-1223
Fax Number : 626-442-0439
Provider Business Practice Location Address
First Line : 3503 LEXINGTON AVE
Second Line :
City : EL MONTE
State : CA
Zip : 91731-2607
Country : US
Telephone Number : 626-442-1223
Fax Number : 626-442-0439
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. MICHELE SUMMERS COLON
Credential : DPM
Telephone Number : 626-442-1223
Provider Enumeration Date : 02/29/2008
Last Update Date : 12/09/2011

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Directions to “MICHELE S COLON DPM A PROFESSIONAL PODIATRY CORP ” Practice Location

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