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PREMIER FOOT AND ANKLE L.L.C. NPI 1275630451


NPI Information

NPI: 1275630451
Provider Name: PREMIER FOOT AND ANKLE, L.L.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3149 N WINDSONG DR
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 772-5916
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PREMIER FOOT AND ANKLE, L.L.C. is a podiatrist in Prescott Valley, AZ. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PREMIER FOOT AND ANKLE, L.L.C. NPI is 1275630451. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3149 N WINDSONG DR
PRESCOTT VALLEY, AZ
ZIP 86314-240
Phone: (928) 772-5916
Fax: (928) 775-3250

The provider's authorized official is Scott R Price .
The authorized official title is Provider and has the following contact phone number (928) 772-5916.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 5/4/2021.


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
1213E00000XPodiatrist0564ARIZONAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1711144001MEDICAIDARIZONA
2711144002MEDICAIDARIZONA
3DC9191OTHERARIZONARAIL RD MEDICARE
4AZ0195490OTHERARIZONABLUE CROSS BLUE SHIELD
5P00198294OTHERARIZONARAIL ROAD MEDICARE

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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