Individual provider · Type 1 NPI
Ivan Dale McLaws, D.P.M.
Foot & Ankle Surgery Podiatrist · Payson, AZ
NPI number
1356428536
Active
Practice location
200 E Lone Pine St
Payson, AZ 85541-5519
Fax (928) 474-9241
Mailing address
PO Box 603
Payson, AZ 85547-0603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0252 (AZ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1356428536
Ivan Dale McLaws, D.P.M.'s National Provider Identifier is 1356428536, issued on Nov 1, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Payson, AZ. The record was last updated on Dec 10, 2007.