ADVANCED PODIATRIC SPECIALTY INC NPI 1295839512

NPI Information

ADVANCED PODIATRIC SPECIALTY INC is a podiatric clinic center in Glendale, AZ. ADVANCED PODIATRIC SPECIALTY INC NPI is 1295839512. The provider is registered as an organization entity type.

The provider's business location address is:

6677 W THUNDERBIRD RD
J171/172
GLENDALE, AZ
ZIP 85306-709
Phone: (623) 977-6245
Fax: (623) 977-6280

The provider's authorized official is Rajesh P Daulat .
The authorized official title is President and has the following contact phone number (623) 977-6245.

The CLIA number assigned to this NPI record is 03D1106534 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 6/9/2010.

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

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