Organization · Type 2 NPI

Casa Grande Foot & Ankle Spec

Foot & Ankle Surgery Podiatrist · Casa Grande, AZ

NPI number 1891982914 Active

Practice location

675 E Cottonwood Ln
Casa Grande, AZ 85222-2023

Fax (520) 836-2425

Mailing address

PO Box 11083
Casa Grande, AZ 85230-1083

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

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

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About NPI 1891982914

Casa Grande Foot & Ankle Spec's National Provider Identifier is 1891982914, issued on Oct 2, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Casa Grande, AZ. The record was last updated on Nov 14, 2007.