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Matthew Pettengill, DPM
Foot & Ankle Surgery Podiatrist in Phoenix, Arizona
NPI 1215046974

Matthew Pettengill is a Foot & Ankle Surgery Podiatrist based in Pasadena, AZ and is specialized in Foot & Ankle Surgery. Matthew Pettengill practices in Phoenix, AZ and has the professional credentials of DPM. The NPI Number for Matthew Pettengill is 1215046974 and holds a License No. POD1049 (Arizona).

The current practice location address for Matthew Pettengill is 4212 N 16Th St, Phoenix, AZ and can be reached out via phone at 602-263-1200 and via fax at 602-200-5383.

Location: 4212 N 16Th St, Phoenix, AZ, 91110-0698
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Provider Profile Details
NPI Number
1215046974
Provider Name
Matthew Pettengill
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4212 N 16Th St, Phoenix, AZ, 91110-0698
Phone Number
602-263-1200
Fax Number
602-200-5383
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0307600 01 AZ BCBS
046148 05 AZ
institution
Provider Business Practice Location Address Details
Address
4212 N 16Th St
City
State
Zip
85016-5319
Phone Number
602-263-1200
Fax Number
602-200-5383
person
Provider Business Mailing Address Details
Address
4212 N 16Th St
City
State
Zip
85016-5319
Phone Number
602-263-1200
Fax Number
602-200-5383
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD1049 (Maine)
Definition
Definition to come...
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