is a Foot & Ankle Surgery in Phoenix, Arizona. practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for is 1568629491. The last update date is .
's current location address is 3815 E Bell Rd, Phoenix, Arizona. You can contact this provider via phone number 6025692321 and fax number 6025696220. The mailing address for is 3815 E Bell Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3815 E Bell Rd, Phoenix, Arizona |
| Phone Number | 6025692321 |
| Fax Number | 6025696220 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1568629491 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3815 E Bell Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850322122 |
| Phone Number | 6025692321 |
| Fax Number | 6025696220 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 320 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39496603 | AZ | -- | |
| AZ1830 | AZ | HEALTH NET |
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