Ross Eldon Biederman, D.P.M.
in June Lake, CA. Individual provider (NPI-1).
NPI number1114211786
StatusActive
Last updated in NPPESJun 1, 2011
Details
- NPI
- 1114211786
- Entity type
- Individual (NPI-1)
- Name
- Ross Eldon Biederman
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2011
- Last updated
- Jun 1, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0131X | E2118 | CA | Yes |
Practice location
140 Wyoming StreetJune Lake, CA 93529
Phone 760-648-1017
Mailing address
140 Wyoming StreetJune Lake, CA 93529
Phone 760-648-1017 · Fax 760-648-1017
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