Healthcare Provider Details

I. General information

NPI: 1356293534
Provider Name (Legal Business Name): FRIENDLY FOOT AND ANKLE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3231 S COUNTRY CLUB WAY STE 108
TEMPE AZ
85282-4053
US

IV. Provider business mailing address

3231 S COUNTRY CLUB WAY STE 108
TEMPE AZ
85282-4053
US

V. Phone/Fax

Practice location:
  • Phone: 480-831-0700
  • Fax:
Mailing address:
  • Phone: 480-831-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: CALEB WOODSON
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 602-758-9282