DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICOLE MARIE SURDOCK, D.P.M.

Active Sole Proprietor

DR. NICOLE MARIE SURDOCK, D.P.M. is a Radiology Podiatrist healthcare provider located in WATSONVILLE, California. NPI 1174674436 is currently active in the NPPES registry. Verify at CMS.

Radiology Podiatrist · WATSONVILLE, CA

Registration Details

NPI Number
1174674436
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2007 (19.389817527127 yrs)
Last Updated
Feb 7, 2012
Licenses
E4802 (CA)
EL 1671 (CA)
Sole Proprietor
Yes

Practice Information

Address
47 PENNY LN
SUITE 1
WATSONVILLE, CA, 950766055
Browse CA providers · Browse ZIP 95076
Phone
8317288844
Primary Specialty
Radiology Podiatrist
213EP1101X

Other Radiology Podiatrist Providers in WATSONVILLE, CA

Name Credential NPI
DR. WILLIAM E. HOPKINS DPM 1679625636
DR. JOSEPH ALBRIGHT DPM 1568991073
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.