RUSSELL GROOTEGOED, DPM
Podiatrist - Foot & Ankle Surgery
Active
Individual
NPI: 1194767921
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist - Foot & Ankle Surgery | 213ES0103X | Yes | E2064 (CA) |
| Prosthetic/Orthotic Supplier | 335E00000X | No | E2064 (CA) |
Frequently Asked Questions
NPI 1194767921 is the National Provider Identifier for RUSSELL GROOTEGOED, DPM, a Podiatrist - Foot & Ankle Surgery provider located in San Pedro, CA. This NPI was enumerated on June 13, 2006.
RUSSELL GROOTEGOED, DPM practices at 601 W 9TH ST, San Pedro, CA 90731.
Quick Facts
- NPI
- 1194767921
- Type
- Individual
- Enumerated
- Jun 13, 2006
- Last Updated
- Apr 11, 2008
Nearby Providers
-
DR. CARMEN CAPODANNO, M.D.
Dermatology
-
SYDNEY VALERIO
Counselor
-
LOUISE SATTLER, SCHOOL PSYCHOLOGIST
Psychologist - School
-
MATTHEW MCNECE
Counselor - Addiction (Substance Use Disorder)
-
BARRY RODGVELLER, DPM
Podiatrist