Healthcare Provider Details

I. General information

NPI: 1205887569
Provider Name (Legal Business Name): FAMILY FOOT & ANKLE CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S DOBSON RD STE E40
CHANDLER AZ
85224-5693
US

IV. Provider business mailing address

2680 S VAL VISTA DR STE 177
GILBERT AZ
85295-1674
US

V. Phone/Fax

Practice location:
  • Phone: 480-909-3700
  • Fax: 778-399-9728
Mailing address:
  • Phone: 480-909-3700
  • Fax: 877-839-9972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DARICK HATHAWAY FREESTONE
Title or Position: OWNER
Credential:
Phone: 480-909-3700