Healthcare Provider Details
I. General information
NPI: 1689446296
Provider Name (Legal Business Name): ARIZONA FOOT AND ANKLE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2023
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3301 N MILLER RD STE 138
SCOTTSDALE AZ
85251-6457
US
IV. Provider business mailing address
4340 E INDIAN SCHOOL RD STE 21-123
PHOENIX AZ
85018-5375
US
V. Phone/Fax
- Phone: 602-805-0966
- Fax:
- Phone: 480-415-5448
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANA
BURNS
Title or Position: DPM
Credential: DPM
Phone: 480-415-5448