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Foot & Ankle Specialists Of Arizona PLLC

Podiatrist, Foot & Ankle Surgery in Sun City West, AZ. Organization (NPI-2).

NPI number1003436635
StatusActive
Last updated in NPPESApr 8, 2024

Details

NPI
1003436635
Entity type
Organization (NPI-2)
Legal business name
Foot & Ankle Specialists Of Arizona PLLC
Organization subpart
No
Enumeration date
Apr 23, 2020
Certification date
Apr 8, 2024
Last updated
Apr 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery––Yes
332900000X Non-Pharmacy Dispensing Site––

Practice location

13949 W Meeker Blvd Ste B
Sun City West, AZ 85375-4436

Phone 623-544-9090 · Fax 623-546-3704

Mailing address

18301 N 79th Ave Ste F168
Glendale, AZ 85308-6045

Phone 623-544-9090 · Fax 623-546-3704

Authorized official

Seth Clark
Owner Provider
6235449090

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Other Foot & Ankle Surgery Podiatrist providers in Sun City West, AZ

All 9 Foot & Ankle Surgery Podiatrist providers in Sun City West · All 823 providers in Sun City West

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