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SIERRA VISTA FAMILY FOOTCARE PC NPI 1083954804


NPI Information

NPI: 1083954804
Provider Name: SIERRA VISTA FAMILY FOOTCARE PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4235 S MOHAVE DR
SIERRA VISTA, AZ
ZIP 85650
Phone: (520) 803-0509
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SIERRA VISTA FAMILY FOOTCARE PC is a podiatrist in Sierra Vista, 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. SIERRA VISTA FAMILY FOOTCARE PC NPI is 1083954804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4235 S MOHAVE DR
SIERRA VISTA, AZ
ZIP 85650-429
Phone: (520) 803-0509

The provider's authorized official is Richard Fred Cohen .
The authorized official title is President/ceo and has the following contact phone number (520) 803-0509.

The enumeration date for this NPI number is 2/15/2013 and was last updated on 2/15/2013.


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
1213E00000XPodiatrist0430ARIZONAYes

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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