Healthcare Provider Details

I. General information

NPI: 1033209671
Provider Name (Legal Business Name): MICHAEL F ESBER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 10/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6320B W UNION HILLS DR SUITE B-2300
GLENDALE AZ
85308-7201
US

IV. Provider business mailing address

14300 W GRANITE VALLEY DR STE 5B
SUN CITY WEST AZ
85375-5783
US

V. Phone/Fax

Practice location:
  • Phone: 623-546-4030
  • Fax: 623-546-5979
Mailing address:
  • Phone: 623-546-4930
  • Fax: 623-546-5979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberDPM 358
License Number StateAZ

VIII. Authorized Official

Name: DR. MICHAEL F ESBER
Title or Position: OWNER
Credential: DPM
Phone: 623-546-4930