MEDICARE: ARIZONA FOOT & ANKLE CARE, P.C.

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	0210	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480025917	OTHER	AZ	RAILROAD MEDICARE
4	ZWCGCL	OTHER	AZ	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	188715900	OTHER	AZ	ACS
3	6819144	OTHER	AZ	CIGNA
5	630556	OTHER	AZ	AETNA
6	AZ0068970	OTHER	AZ	BLUECROSS/BLUESHIELD

General Provider Information

NPI Number	:	1548440936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA FOOT & ANKLE CARE, P.C.

Provider Business Mailing Address
First Line	:	3201 W PEORIA AVE STE A200
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-4699
Country	:	US
Telephone Number	:	602-843-3277
Fax Number	:	602-843-3643

Provider Business Practice Location Address
First Line	:	3201 W PEORIA AVE STE A200
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-4699
Country	:	US
Telephone Number	:	602-843-3277
Fax Number	:	602-843-3643

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. WILLIAM J. LEONETTI
Credential	:	DPM
Telephone Number	:	602-843-3277

Provider Enumeration Date	:	11/14/2007
Last Update Date	:	06/10/2014

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Directions to “ARIZONA FOOT & ANKLE CARE, P.C. ” Practice Location

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