TAD FENNAR

SAN PEDRO, CA
NPI1134151194
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA  E4107)
Enumeration Date2006-07-07
Last Update Date2008-10-15
Business Address
-- TAD FENNAR DPM
1300 W 6TH ST SUITE 2
SAN PEDRO, CA 90732-3531
Phone number: 310-831-0728
Mailing Address
-- TAD FENNAR DPM
1300 W 6TH ST SUITE 2
SAN PEDRO, CA 90732-3531
Phone number: 310-831-0728