JOSEPH A ADDIEGO DPM

Dr JOSEPH A ADDIEGO DPM is a male medical professional, specializing in Podiatry. He graduated in 1998 from California College Podiatric Medicine.

Contact

3476 W WILSON ST
BANNING
CA
922203420

Tel:

JOSEPH A ADDIEGO DPM Information

Npi 1902907835
Pac Id 0244290278
Professional Enrollment Id I20041015000357
Last Name ADDIEGO
First Name JOSEPH
Middle Name A
Suffix
Gender M
Credential DPM
Medical School Name CALIFORNIA COLLEGE PODIATRIC MEDICINE
Graduation Year 1998
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3476 W WILSON ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BANNING
State CA
Zip Code 922203420
Phone Number
Hospital Affiliation Ccn 1 050058
Hospital Affiliation Lbn 1 GLENDALE MEM HOSPITAL & HLTH CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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