Healthcare Provider Details

I. General information

NPI: 1538104765
Provider Name (Legal Business Name): NORTH SCOTTSDALE FOOT AND ANKLE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 08/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 N SCOTTSDALE RD SUITE 205
SCOTTSDALE AZ
85254-5216
US

IV. Provider business mailing address

PO BOX 12322
SCOTTSDALE AZ
85267-2322
US

V. Phone/Fax

Practice location:
  • Phone: 480-609-1777
  • Fax: 480-609-7222
Mailing address:
  • Phone: 480-609-1777
  • Fax: 480-609-7222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0625
License Number StateAZ

VIII. Authorized Official

Name: DR. ANNA MARIE NATCHER
Title or Position: CEO
Credential: DPM
Phone: 480-710-6996