Healthcare Provider Details

I. General information

NPI: 1477496974
Provider Name (Legal Business Name): ALLEN FOOT AND ANKLE MEDICINE AND SURGERY PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9421 W BELL RD STE 105
SUN CITY AZ
85351-1361
US

IV. Provider business mailing address

9421 W BELL RD STE 105
SUN CITY AZ
85351-1361
US

V. Phone/Fax

Practice location:
  • Phone: 623-977-8388
  • Fax: 623-977-5242
Mailing address:
  • Phone: 623-977-8388
  • Fax: 623-977-5242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRIAN H ALLEN
Title or Position: OWNER
Credential: DPM
Phone: 480-633-7944