Healthcare Provider Details

I. General information

NPI: 1659316503
Provider Name (Legal Business Name): HEAD TO TOE HEALTHCARE, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 09/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7406 N LA CHOLLA BLVD
TUCSON AZ
85741-2306
US

IV. Provider business mailing address

7406 N. LA CHOLLA BLVD.
TUCSON AZ
85741
US

V. Phone/Fax

Practice location:
  • Phone: 520-545-0202
  • Fax: 520-545-0201
Mailing address:
  • Phone: 520-545-0202
  • Fax: 520-545-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0577
License Number StateAZ

VIII. Authorized Official

Name: DR. ALAN SHIH
Title or Position: PRESIDENT
Credential: DPM
Phone: 520-545-0202