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NPI Code Detail

MEDICARE: FOOT ANKLE SPECIALTY CENTERS, LLC

MEDICARE: FOOT ANKLE SPECIALTY CENTERS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11649273814OTHERAZPAYAM SARRAF INDIV NPI
21942434618OTHERAZJAMES GARBER DPM NPI
31619907755OTHERAZTODD LAMSTER DPM NPI
41679603724OTHERAZFOOT ANKLE SPECIALTY CENTERS NPI

General Provider Information

NPI Number : 1679603724
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOOT ANKLE SPECIALTY CENTERS, LLC
Provider Business Mailing Address
First Line : 4915 E BASELINE ROAD
Second Line : BLDG 8, SUITE 121
City : GILBERT
State : AZ
Zip : 85234-2965
Country : US
Telephone Number : 480-812-3668
Fax Number : 480-782-1290
Provider Business Practice Location Address
First Line : 4915 E BASELINE ROAD
Second Line : BLDG 8, SUITE 121
City : GILBERT
State : AZ
Zip : 85234-2965
Country : US
Telephone Number : 480-812-3668
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. CONSTANTINE SAFIS
Credential :
Telephone Number : 480-812-3668
Provider Enumeration Date : 03/07/2007
Last Update Date : 05/12/2011

Similar Medicare Providers

1649273814 — DR. PAYAM SARRAF D.P.M.
Practice Location Address:
4915 E BASELINE RD , SUITE 121
GILBERT, AZ
85234-2965
Practice Phone: 480-812-3668
Practice Fax: 480-782-1290
1770561656 — DEAN STEPHEN MOUSSER MD
Practice Location Address:
4915 E BASELINE RD , STE 119
GILBERT, AZ
85234-2965
Practice Phone: 480-832-0480
Practice Fax: 480-832-0490
1073587382 — DR. SAM REED SHIMAMOTO M.D.
Practice Location Address:
4915 E BASELINE RD , SUITE 112
GILBERT, AZ
85234-2965
Practice Phone: 480-626-6600
Practice Fax: 480-626-6604
1710904636 — SAM P SMITH DO LLC
Practice Location Address:
4915 E BASELINE RD , SUITE 102
GILBERT, AZ
85234-2965
Practice Phone: 480-646-8660
Practice Fax: 480-646-8665
1982825436 — MRS. AMY ZANGGER EBY CPNP
Practice Location Address:
4915 E BASELINE RD , STE 119
GILBERT, AZ
85234-2965
Practice Phone: 480-832-0480
Practice Fax: 480-832-0490
1043410723 — CRAIG L. MECHELKE, D.O., LTD.
Practice Location Address:
4915 E BASELINE RD , SUITE 126
GILBERT, AZ
85234-2965
Practice Phone: 480-969-3096
Practice Fax: 480-969-0963

Directions to “FOOT ANKLE SPECIALTY CENTERS, LLC ” Practice Location

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