SPECTRUM FALLS FOOT & ANKLE SPECIALISTS PC NPI 1053447243

NPI Information

SPECTRUM FALLS FOOT & ANKLE SPECIALISTS, PC is a foot and ankle surgery podiatrist in Gilbert, AZ. SPECTRUM FALLS FOOT & ANKLE SPECIALISTS, PC NPI is 1053447243. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2730 S VAL VISTA DR
SUITE 158
GILBERT, AZ
ZIP 85296-675
Phone: (480) 889-7055
Fax: (480) 889-7054

The provider's authorized official is Clark J Fullmer .
The authorized official title is Physician and has the following contact phone number (480) 889-7055.

The enumeration date for this NPI number is 2/24/2007 and was last updated on 12/13/2007.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.