Russell A. Grootegoed DPM
Russell A. Grootegoed DPM is a Prosthetic/Orthotic Supplier in San Pedro, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
601 W 9th StSan Pedro, CA 90731-3107
Phone: (310) 833-3583
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence E2064 (CA) |
|---|
Record details
| NPI number | 1720261118 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Grootegoed — Podiatrist · (310) 833-3583 |
| NPI enumerated | December 9, 2007 |
| Last updated in NPPES | April 20, 2008 |
| Mailing address | 601 W 9th St, San Pedro, CA 90731-3107 |
Other providers in San Pedro
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True American Medical Supplies, LLC
870 W 9th St Ste 101, San Pedro, CA 90731-3636 · (424) 342-9061