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SAGUARO PODIATRY ASSOCIATES PLLC NPI 1912168410


NPI Information

NPI: 1912168410
Provider Name: SAGUARO PODIATRY ASSOCIATES PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4810 E HIGHWAY 90
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 417-2244
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SAGUARO PODIATRY ASSOCIATES PLLC is a foot and ankle surgery podiatrist in Sierra Vista, AZ. SAGUARO PODIATRY ASSOCIATES PLLC NPI is 1912168410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4810 E HIGHWAY 90
SIERRA VISTA, AZ
ZIP 85635-440
Phone: (520) 417-2244
Fax: (520) 459-0487

The provider's authorized official is Ladislav Kuchar .
The authorized official title is President and has the following contact phone number (520) 417-2244.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 6/4/2020.


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
1359656MEDICAIDARIZONA

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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