FOOT & ANKLE SPECIALISTS OF ARIZONA PLLC NPI 1316504574

NPI Information

NPI: 1316504574
Provider Name: FOOT & ANKLE SPECIALISTS OF ARIZONA PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 03D2185042

Address:
18301 N 79TH AVE STE F168
GLENDALE, AZ
ZIP 85308
Phone: (623) 544-9090
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FOOT & ANKLE SPECIALISTS OF ARIZONA PLLC is a foot and ankle surgery podiatrist in Glendale, AZ. FOOT & ANKLE SPECIALISTS OF ARIZONA PLLC NPI is 1316504574. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18301 N 79TH AVE STE F168
GLENDALE, AZ
ZIP 85308-045
Phone: (623) 544-9090
Fax: (623) 546-3704

The provider's authorized official is Seth Clark .
The authorized official title is Owner and has the following contact phone number (623) 544-9090.

The CLIA number assigned to this NPI record is 03D2185042 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/23/2019 and was last updated on 4/8/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes
2	332900000X	Non-Pharmacy Dispensing Site				No

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

NPI Synchronization or Removal

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