East Valley Footcare Pllc in Mesa - Podiatrist

East Valley Footcare Pllc - NPI 1184737546

East Valley Footcare Pllc is a Podiatrist in Mesa, Arizona. East Valley Footcare Pllc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for East Valley Footcare Pllc is 1184737546. The last update date is 2013-04-23.

East Valley Footcare Pllc's current location address is 6104 E Brown Rd, Mesa, Arizona. You can contact this provider via phone number 4803574400 and fax number 4808070800. The mailing address for East Valley Footcare Pllc is 6104 E Brown Rd, Mesa, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Valley Footcare Pllc
Address 6104 E Brown Rd, Mesa, Arizona
Phone Number 4803574400
Fax Number 4808070800
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Connell Charles
Credentials DPM
Telephone Number 4803574400

NPI Number Detail

NPI Number 1184737546
Provider Enumeration Date 2006-08-17
Last Updated Date 2013-04-23

Provider Mailing Address Detail

Address 6104 E Brown Rd
City Mesa
State Arizona (AZ)
Post Code 852054953
Phone Number 4803574400
Fax Number 4808070800

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 322
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
480032936 AZ RR MEDICARE
480032937 AZ RAILROAD MEDICARE

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FAQs about East Valley Footcare Pllc

What is the East Valley Footcare Pllc's unique identification number?

The East Valley Footcare Pllc has been assigned the NPI (National Provider Identifier) Number 1184737546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of East Valley Footcare Pllc?

The East Valley Footcare Pllc is physically situated at 6104 E Brown Rd, in the city of Mesa, state of AZ, with the postal code 852054953.

What is East Valley Footcare Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for East Valley Footcare Pllc is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.

When was the East Valley Footcare Pllc's 1184737546 issued?

The East Valley Footcare Pllc's 1184737546 was issued on 2006-08-17.

As of what date was the information pertaining to East Valley Footcare Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to East Valley Footcare Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-04-23.

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