Organization · Type 2 NPI

Southern Arizona Podiatry LLC

Foot & Ankle Surgery Podiatrist · Green Valley, AZ

NPI number 1104691773 Active

Practice location

1055 N La Canada Dr Ste 135
Green Valley, AZ 85614-3700

Call (801) 310-5651 Map

Mailing address

14480 S Via Del Trono
Sahuarita, AZ 85629-8494

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	None listed

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

Another provider at this address

Steven M. Gillespie, DPMFoot & Ankle Surgery Podiatrist Green Valley, AZ NPI 1669814281

NPI record

NPI: 1104691773
Entity type: Organization (Type 2)
Issued: Nov 23, 2023
Last updated: Mar 8, 2024
Status: Active

Other names

<unavail>
Southern Arizona Podiatry · doing business as
Southern Arizona Podiatry · doing business as

Authorized official

Dr. Steven Gillespie, DPM
Podiatrist
(520) 640-7010

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104691773

Southern Arizona Podiatry LLC's National Provider Identifier is 1104691773, issued on Nov 23, 2023. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Green Valley, AZ. The record was last updated on Mar 8, 2024.