Healthcare Provider Details

I. General information

NPI: 1902555022
Provider Name (Legal Business Name): EULANO FOOT AND ANKLE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 N 19TH AVE STE 3
PHOENIX AZ
85015-4602
US

IV. Provider business mailing address

8575 E PRINCESS DR STE 221
SCOTTSDALE AZ
85255-5441
US

V. Phone/Fax

Practice location:
  • Phone: 602-279-4975
  • Fax:
Mailing address:
  • Phone: 490-948-8754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERT E EULANO
Title or Position: OWNER
Credential: DPM
Phone: 480-948-8754