Healthcare Provider Details

I. General information

NPI: 1376725895
Provider Name (Legal Business Name): BARBARA R KLUGER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 07/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13825 N 7TH ST SUITE J
PHOENIX AZ
85022-4342
US

IV. Provider business mailing address

13825 N 7TH ST SUITE J
PHOENIX AZ
85022-4342
US

V. Phone/Fax

Practice location:
  • Phone: 602-863-3668
  • Fax: 602-863-6651
Mailing address:
  • Phone: 602-863-3668
  • Fax: 602-863-6651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. BARBARA REGINA KLUGER
Title or Position: OWNER
Credential: DPM
Phone: 602-863-3668