Organization · Type 2 NPI

Extensive Foot and Ankle, PLLC

Foot & Ankle Surgery Podiatrist · Yuma, AZ

NPI number 1003617853 Active

Practice location

1951 W 25th St Ste E
Yuma, AZ 85364-6924

Mailing address

1065 S Tamarack Ave
Yuma, AZ 85364-4136

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1003617853

Extensive Foot and Ankle, PLLC's National Provider Identifier is 1003617853, issued on Mar 19, 2025. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Yuma, AZ. The record was last updated on Jul 8, 2025.