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ASSOCIATED FOOT & ANKLE SPECIALISTS PLC NPI 1790904282


NPI Information

NPI: 1790904282
Provider Name: ASSOCIATED FOOT & ANKLE SPECIALISTS PLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 03D2008292

Address:
6707 N 19TH AVE
SUITE 103
PHOENIX, AZ
ZIP 85015
Phone: (602) 274-4100
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ASSOCIATED FOOT & ANKLE SPECIALISTS PLC is a foot and ankle surgery podiatrist in Phoenix, AZ. ASSOCIATED FOOT & ANKLE SPECIALISTS PLC NPI is 1790904282. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6707 N 19TH AVE
SUITE 103
PHOENIX, AZ
ZIP 85015-104
Phone: (602) 274-4100
Fax: (602) 246-1565

The provider's authorized official is Arthur J Tallis .
The authorized official title is Partner and has the following contact phone number (602) 274-4100.

The CLIA number assigned to this NPI record is 03D2008292 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/24/2007 and was last updated on 9/29/2011.


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 Surgery0213ARIZONANo
2213ES0103XPodiatristFoot & Ankle Surgery0532ARIZONAYes

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
1Z81360MEDICARE PINARIZONA

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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