IndividualActive
David Hannaford, DPM
NPI 1477664662 · Sports Medicine Podiatrist · San Rafael, CA
Provider details
- NPI number
- 1477664662
- Entity type
- Individual
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- E3272 (CA)
Mailing address
750 Las Gallinas #102
San Rafael, CA 94903
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.