Healthcare Provider Details

I. General information

NPI: 1508096520
Provider Name (Legal Business Name): WALK IN MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2009
Last Update Date: 04/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 W CAREFREE HWY BUILDING 1, SUITE 102
PHOENIX AZ
85085-6093
US

IV. Provider business mailing address

2525 W CAREFREE HWY BUILDING 1, SUITE 102
PHOENIX AZ
85085-6093
US

V. Phone/Fax

Practice location:
  • Phone: 623-434-5748
  • Fax: 623-434-5751
Mailing address:
  • Phone: 623-434-5748
  • Fax: 623-434-5751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number3834
License Number StateAZ

VIII. Authorized Official

Name: DR. DAVID BRYAN FOY
Title or Position: PRESIDENT/ PHYSICIAN
Credential: D.O.
Phone: 623-326-9588