| NPI | 1356418958 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | KARL ROBERT COULTER Owner 510-832-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E1727) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-09-06 |