Organization · Type 2 NPI

Mirage Podiatry Foot and Ankle Specialists

Foot & Ankle Surgery Podiatrist · Phoenix, AZ

NPI number 1114545506 Active

Practice location

9250 N 3rd St Ste 3020
Phoenix, AZ 85020-2425

Call (480) 939-3440 Map

Fax (480) 939-3448

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed
Podiatric Clinic/Center 261QP1100XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

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

4 other providers at this address

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About NPI 1114545506

Mirage Podiatry Foot and Ankle Specialists's National Provider Identifier is 1114545506, issued on Jul 11, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 26, 2023.