MEDICARE: AFFORDABLE FOOTCARE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	0216	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z113984	OTHER	AZ	MEDICARE
3	Z73021	OTHER	AZ	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275766354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFORDABLE FOOTCARE, PC

Provider Business Mailing Address
First Line	:	13629 W CAMINO DEL SOL
Second Line	:	SUITE 150
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-1405
Country	:	US
Telephone Number	:	623-584-6500
Fax Number	:	623-584-6335

Provider Business Practice Location Address
First Line	:	13629 W CAMINO DEL SOL
Second Line	:	SUITE 150
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-1405
Country	:	US
Telephone Number	:	623-584-6500
Fax Number	:	623-584-6335

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRAD LEE HAYMAN
Credential	:	D.P.M.
Telephone Number	:	623-584-6500

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	08/24/2009

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