Healthcare Provider Details

I. General information

NPI: 1679416150
Provider Name (Legal Business Name): ALLEN FOOT AND ANKLE MEDICINE AND SURGERY PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2168 E WILLIAMS FIELD RD STE 200
GILBERT AZ
85295-0743
US

IV. Provider business mailing address

220 N STAPLEY DR STE 1
MESA AZ
85203-8057
US

V. Phone/Fax

Practice location:
  • Phone: 480-321-8267
  • Fax: 480-840-3458
Mailing address:
  • Phone: 480-833-3596
  • Fax: 480-962-9173

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: BRIAN H ALLEN
Title or Position: OWNER
Credential: DPM
Phone: 480-633-7944