NPI 1003617853
Extensive Foot and Ankle, PLLC
Practice location
- Address
- 1951 W 25th St STE E, Yuma, AZ 85364-6924
- Phone
- (480) 521-2180
- Mailing address
- 1065 S Tamarack Ave, Yuma, AZ 85364-4136
Authorised official
- Name
- Michael Gifford
- Title
- Authorized Official
- Phone
- (928) 955-0777
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1003617853
- Entity type
- Organization
- NPI issued
- 19 Mar 2025
- Record last updated
- 8 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.