Organization · Type 2 NPI
White Mountain Foot and Ankle Care Center PLLC
Foot & Ankle Surgery Podiatrist · Lakeside, AZ
NPI number
1508058249
Active
Practice location
5448 White Mountain Blvd, Suite 270
Lakeside, AZ 85929-5739
Fax (928) 532-1124
Mailing address
PO Box 39
Overgaard, AZ 85933-0039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 640 (AZ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
5 other providers at this address
- Elk Ridge Surgical Specialists PLLCVascular Surgery Physician Lakeside, AZ NPI 1588833594
- Kent Walter Cox MD PSOtolaryngology Physician Lakeside, AZ NPI 1013177468
- Melissa Kyrimis, MD PLCSpecialist Lakeside, AZ NPI 1750612024
- Roger Williams MD PCFamily Medicine Physician Lakeside, AZ NPI 1972783736
- Kent W. Cox, MDOtolaryngology Physician Lakeside, AZ NPI 1548252109
About NPI 1508058249
White Mountain Foot and Ankle Care Center PLLC's National Provider Identifier is 1508058249, issued on Aug 16, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lakeside, AZ. The record was last updated on Dec 12, 2008.