Organization · Type 2 NPI
Agave Foot Specialists, PLLC
Foot & Ankle Surgery Podiatrist · Phoenix, AZ
NPI number
1861508541
Active
Practice location
16841 N. 31st Ave., Ste. 134
Phoenix, AZ 85053-3051
Fax (623) 322-8996
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0552 (AZ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1861508541
Agave Foot Specialists, PLLC's National Provider Identifier is 1861508541, issued on Aug 22, 2006. 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 Feb 26, 2008.