NPI 1306691597

Russell William Pate, CPED

Practitioner Pedorthist Dublin, CA

Practice location

Address: 6483 Sierra Ln, Dublin, CA 94568-2797
Phone: (925) 820-0220

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1306691597
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2024
Record last updated: 22 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.