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VERDE VALLEY FOOT AND ANKLE CENTER LLC NPI 1861535767


NPI Information

NPI: 1861535767
Provider Name: VERDE VALLEY FOOT AND ANKLE CENTER, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1759 E VILLA DR
SUITE 114
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-8356
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VERDE VALLEY FOOT AND ANKLE CENTER, LLC is a podiatrist in Cottonwood, 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. VERDE VALLEY FOOT AND ANKLE CENTER, LLC NPI is 1861535767. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1759 E VILLA DR
SUITE 114
COTTONWOOD, AZ
ZIP 86326-681
Phone: (928) 634-8356
Fax: (928) 639-2777

The provider's authorized official is Jean Kroyn .
The authorized official title is Owner and has the following contact phone number (928) 634-8356.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 12/9/2009.


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
1213E00000XPodiatrist0604ARIZONAYes

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
15713170001MEDICARE NSCARIZONA
2Z108076MEDICARE 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: 11/14/2023

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