Prescott Foot & Ankle Clinic Pc in Prescott - Foot & Ankle Surgery
Prescott Foot & Ankle Clinic Pc - NPI 1407925738
Prescott Foot & Ankle Clinic Pc is a Foot & Ankle Surgery in Prescott, Arizona. Prescott Foot & Ankle Clinic Pc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Prescott Foot & Ankle Clinic Pc is 1407925738. The last update date is 2008-02-08.
Prescott Foot & Ankle Clinic Pc's current location address is 919 12th Place, Prescott, Arizona. You can contact this provider via phone number 9287760770 and fax number 9287768991. The mailing address for Prescott Foot & Ankle Clinic Pc is 919 12th Place, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prescott Foot & Ankle Clinic Pc |
|---|---|
| Address | 919 12th Place, Prescott, Arizona |
| Phone Number | 9287760770 |
| Fax Number | 9287768991 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Peterson L Kent |
| Credentials | DPM |
| Telephone Number | 9287760770 |
NPI Number Detail
| NPI Number | 1407925738 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 919 12th Place |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863051433 |
| Phone Number | 9287760770 |
| Fax Number | 9287768991 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 0261AZ |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700634 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Prescott Foot & Ankle Clinic Pc?
The Prescott Foot & Ankle Clinic Pc has been issued the NPI (National Provider Identifier) 1407925738 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Prescott Foot & Ankle Clinic Pc's facilities are geographically located?
The facilities of Prescott Foot & Ankle Clinic Pc are physically situated at the following location: 919 12Th Place, Prescott, AZ, 863051433.
What is Prescott Foot & Ankle Clinic Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Prescott Foot & Ankle Clinic Pc's specialized field of practice is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0103X.
On what date did the Prescott Foot & Ankle Clinic Pc receive the assignment of its 1407925738 from the Centers for Medicare & Medicaid Services?
The Prescott Foot & Ankle Clinic Pc was issued its 1407925738 by the Centers for Medicare & Medicaid Services on 2006-11-08.
When was the information pertaining to Prescott Foot & Ankle Clinic Pc most recently updated or revised?
The details related to Prescott Foot & Ankle Clinic Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-08.