White Mountain Foot And Ankle Care Center Pllc

NPI 1508058249 - Podiatrist - 213ES0103X

NPI Details
NPI 1508058249
Enumeration Date 08/16/2007
Last Updated 12/12/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name H RYAN H RYAN
Position PRESIDENT
Phone (928) 532-1122
Fax (928) 532-1124
Practice Location
5448 WHITE MOUNTAIN BLVD
SUITE 270
LAKESIDE AZ, 85929-5739, US
Phone (928) 532-1122
Fax (928) 532-1124
Business Location
PO BOX 39
OVERGAARD AZ, 85933-0039, US
Phone (928) 532-1122
Fax (928) 532-1124
Toxanomy
Taxonomy Code 213ES0103X
License State Arizona
License Number 640
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According to our database, White Mountain Foot And Ankle Care Center Pllc NPI is 1508058249, taxonomy code is 213ES0103X and license number is 640, license state is located at Arizona. White Mountain Foot And Ankle Care Center Pllc physically located at 5448 White Mountain Blvd, Lakeside AZ, 85929-5739. NPI Number 1033115704 has the healthcare provider type.

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1508058249 NPI number is provided on an as is basis without warranty of any kind. 1508058249 is maintained by the National Plan & Provider Enumeration System. The contents of White Mountain Foot And Ankle Care Center Pllc are for informational purposes only.