Healthcare Provider Details

I. General information

NPI: 1982939419
Provider Name (Legal Business Name): ARCADIA FOOT & ANKLE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2009
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 E THOMAS RD STE 106
SCOTTSDALE AZ
85251-6078
US

IV. Provider business mailing address

PO BOX 20490
MESA AZ
85277-0490
US

V. Phone/Fax

Practice location:
  • Phone: 480-985-1093
  • Fax: 480-296-7665
Mailing address:
  • Phone: 480-985-1093
  • Fax: 480-296-7665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number681
License Number StateAZ

VIII. Authorized Official

Name: MARK OLSEN
Title or Position: OWNER
Credential: DPM
Phone: 602-955-3338