NPI 1316504574
Foot & Ankle Specialists of Arizona PLLC
Practice location
- Address
- 18301 N 79th Ave STE F168, Glendale, AZ 85308-6045
- Phone
- (623) 544-9090
- Fax
- (623) 546-3704
Authorised official
- Name
- Seth Clark
- Title
- Owner
- Phone
- (623) 544-9090
Registered specialties (2)
Foot & Ankle Surgery Podiatrist
Primary
Non-Pharmacy Dispensing Site
Registry record
- NPI
- 1316504574
- Entity type
- Organization
- NPI issued
- 23 May 2019
- Record last updated
- 31 Dec 2024
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.