Provider Demographics
NPI:1164412037
Name:TOM, PAUL T (DPM)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:T
Last Name:TOM
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:515 ALAMEDA AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4024
Mailing Address - Country:US
Mailing Address - Phone:831-422-6711
Mailing Address - Fax:831-783-1862
Practice Address - Street 1:515 ALAMEDA AVE
Practice Address - Street 2:SUITE D
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4024
Practice Address - Country:US
Practice Address - Phone:831-422-6711
Practice Address - Fax:831-783-1862
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE3531213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist