| NPI | 1215591920 |
|---|---|
| Doing Business As | COASTAL FOOT AND ANKLE |
| Doing Business As | COASTAL FOOT AND ANKLE GROUP |
| Entity Type | Organization |
| Authorized Contact | SCOT ROBERG Authorized Official 805-485-6708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2020-05-13 |