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Craig Kenyon Udall, DPM
Foot & Ankle Surgery Podiatrist in Goodyear, Arizona
NPI 1396180477

Craig Kenyon Udall is a Foot & Ankle Surgery Podiatrist based in Goodyear, AZ and is specialized in Foot & Ankle Surgery. Craig Kenyon Udall practices in Goodyear, AZ and has the professional credentials of DPM. The NPI Number for Craig Kenyon Udall is 1396180477 and holds a License No. 0859 (Arizona).

The current practice location address for Craig Kenyon Udall is 14539 W Indian School Rd Ste 880, Goodyear, AZ and can be reached out via phone at 623-248-4734 and via fax at 623-259-7006.

Location: 14539 W Indian School Rd Ste 880, Goodyear, AZ, 85395-9279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396180477
Provider Name
Craig Kenyon Udall
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
14539 W Indian School Rd Ste 880, Goodyear, AZ, 85395-9279
Phone Number
623-248-4734
Fax Number
623-259-7006
Provider Enumeration Date
05/02/2013
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8154560001 01 MEDICARE DME
Z274188 01 AZ MEDICARE PTAN
270291 05 AZ
institution
Provider Business Practice Location Address Details
Address
14539 W Indian School Rd Ste 880
City
Goodyear
State
Arizona
Zip
85395-9279
Phone Number
623-248-4734
Fax Number
623-259-7006
person
Provider Business Mailing Address Details
Address
14539 W Indian School Rd Ste 880
City
Goodyear
State
Arizona
Zip
85395-9279
Phone Number
623-248-4734
Fax Number
623-259-7006
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
0859 (Arizona)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
0859 (Arizona)
Definition
Definition to come...
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