Healthcare Provider Details

I. General information

NPI: 1578778213
Provider Name (Legal Business Name): ALBERT E EULANO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 08/28/2020
Certification Date: 08/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 480-948-8754
  • Fax:
Mailing address:
  • Phone: 480-948-8754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number0421
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number0421
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0421
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: