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AGAVE PODIATRY LLC NPI 1023260692


NPI Information

NPI: 1023260692
Provider Name: AGAVE PODIATRY, LLC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
10440 E RIGGS RD
SUITE 160
SUN LAKES, AZ
ZIP 85248
Phone: (480) 895-7600
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AGAVE PODIATRY, LLC is a foot surgery podiatrist in Sun Lakes, AZ. AGAVE PODIATRY, LLC NPI is 1023260692. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10440 E RIGGS RD
SUITE 160
SUN LAKES, AZ
ZIP 85248-751
Phone: (480) 895-7600
Fax: (480) 895-7601

The provider's authorized official is Mary Margaret Peters .
The authorized official title is Podiatrist and has the following contact phone number (480) 231-6231.

The enumeration date for this NPI number is 10/15/2008 and was last updated on 10/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot Surgery0582ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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