MEDICARE: DR. JAMES WILFRED SPLETTSTOESSER D.P.M.

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
1	213EP1101X	Primary Podiatric Medicine Podiatrist	E1960	CA

General Provider Information

NPI Number	:	1669595039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES WILFRED SPLETTSTOESSER D.P.M.

Provider Business Mailing Address
First Line	:	1333 DE LA VINA ST
Second Line	:	SUITE E
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-3137
Country	:	US
Telephone Number	:	805-687-6668
Fax Number	:	805-687-6669

Provider Business Practice Location Address
First Line	:	1333 DE LA VINA ST
Second Line	:	SUITE E
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-3137
Country	:	US
Telephone Number	:	805-687-6668
Fax Number	:	805-687-6669

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	10/28/2010

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