MEDICARE: PHOENIX INSTITUTE OF FOOTCARE PHYSICANS, PLC

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	0495	AZ

General Provider Information

NPI Number	:	1891914214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHOENIX INSTITUTE OF FOOTCARE PHYSICANS, PLC

Provider Business Mailing Address
First Line	:	4530 N 32ND ST
Second Line	:	SUITE 102
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3357
Country	:	US
Telephone Number	:	602-462-1497
Fax Number	:	602-462-1498

Provider Business Practice Location Address
First Line	:	4530 N 32ND ST
Second Line	:	SUITE 102
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3357
Country	:	US
Telephone Number	:	602-462-1497
Fax Number	:	602-462-1498

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANIEL SCOTT SCHULMAN
Credential	:	D.P.M.
Telephone Number	:	602-462-1497

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	06/03/2008

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