is a Podiatrist in Phoenix, Arizona. practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for is 1306898853. The last update date is .
's current location address is 3217 E Shea Blvd, Phoenix, Arizona. You can contact this provider via phone number 4802122959 and fax number 8665984832. The mailing address for is 3217 E Shea Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 3217 E Shea Blvd, Phoenix, Arizona |
Phone Number | 4802122959 |
Fax Number | 8665984832 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1306898853 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 3217 E Shea Blvd |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850283301 |
Phone Number | 4802122959 |
Fax Number | 8665984832 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | 639 |
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 |
---|---|---|---|
84639 | AZ | -- | |
1245288950 | AZ | INDIVIDUAL NPI | |
AZ0910520 | AZ | BCBS OF AZ | |
P00340466 | AZ | RR MEDICARE |
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