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

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X640 (AZ)

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

5 other providers at this address

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.