Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL A. GROOTEGOED, DPM
Active Sole ProprietorRUSSELL A. GROOTEGOED, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in SAN PEDRO, California. NPI 1194767921 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · SAN PEDRO, CA
Registration Details
- NPI Number
- 1194767921
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2006 (20.207260624023 yrs)
- Last Updated
- Apr 11, 2008
- Licenses
-
E2064 (CA)E2064 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
601 W 9TH STSAN PEDRO, CA, 907313107Browse CA providers · Browse ZIP 90731
- Phone
- 3108333583
- Fax
- 3108331976
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Prosthetic/Orthotic Supplier
Other Foot & Ankle Surgery Podiatrist Providers in SAN PEDRO, CA
| Name | Credential | NPI |
|---|---|---|
| TAD FENNAR | DPM | 1134151194 |
| ERIC M FEIT | DPM, INC | 1366534216 |
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.