Healthcare Provider Details

I. General information

NPI: 1053991620
Provider Name (Legal Business Name): SAGUARO FOOT & ANKLE CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 N SAN MARCOS DR
APACHE JUNCTION AZ
85120-5518
US

IV. Provider business mailing address

740 N SAN MARCOS DR
APACHE JUNCTION AZ
85120-5518
US

V. Phone/Fax

Practice location:
  • Phone: 480-597-1751
  • Fax: 480-360-6591
Mailing address:
  • Phone: 480-597-1751
  • Fax: 480-360-6591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. WESLEY KREIG LEWIS
Title or Position: OWNER/PHYSICIAN
Credential: DPM
Phone: 480-710-3816