Jolley, Blair Moyle

Jolley, Blair Moyle is an individual health care provider with primary practice located at 13652 Cantara St , Panorama City CA 91402-5423. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Jolley, Blair Moyle can be contacted via phone (818) 375-2000.

Contact Information

Primary practice address
13652 Cantara St Panorama City CA 91402-5423
Phone: (818) 375-2000
Fax: (818) 375-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E5135 California

Profile Details

NPI number 1366737728
LBN Legal business name Jolley, Blair Moyle
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2011
Last updated Dec 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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