NPI 1407925738

Prescott Foot & Ankle Clinic PC

Organisation Foot & Ankle Surgery Podiatrist Prescott, AZ

Practice location

Address: 919 12th Place Suite 10, Prescott, AZ 86305-1433
Phone: (928) 776-0770
Fax: (928) 776-8991

Authorised official

Name: Kent L Peterson
Title: Owner
Phone: (928) 776-0770

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 0261AZ (AZ)

Other Podiatrist providers in Arizona →

Registry record

NPI: 1407925738
Entity type: Organization
NPI issued: 8 Nov 2006
Record last updated: 8 Feb 2008

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.