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PODIATRIC PHYSICIANS OF ARIZONA INC. NPI 1194944728


NPI Information

NPI: 1194944728
Provider Name: PODIATRIC PHYSICIANS OF ARIZONA, INC.

Doing Business As: ARIZONA INSTITUTE OF FOOTCARE PHYSICIANS

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1620 S STAPLEY DR
132
MESA, AZ
ZIP 85204
Phone: (480) 834-8804
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PODIATRIC PHYSICIANS OF ARIZONA, INC. is a foot and ankle surgery podiatrist in Mesa, AZ. PODIATRIC PHYSICIANS OF ARIZONA, INC. NPI is 1194944728. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Arizona Institute Of Footcare Physicians.

The provider's business location address is:

1620 S STAPLEY DR
132
MESA, AZ
ZIP 85204-634
Phone: (480) 834-8804
Fax: (480) 464-8287

The provider's authorized official is Ashley Koch .
The authorized official title is Cfo and has the following contact phone number (617) 562-7070.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 3/6/2020.


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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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
1500144MEDICAIDARIZONA
2CD4380OTHERARIZONAPALMETTO GBA, RAILROAD 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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