institution
Agave Foot Specialists, Pllc
Foot & Ankle Surgery Podiatrist in Phoenix, Arizona
NPI 1861508541

Agave Foot Specialists, Pllc is a Foot & Ankle Surgery Podiatrist based in Phoenix, AZ and is specialized in Foot & Ankle Surgery. Agave Foot Specialists, Pllc practices in Phoenix, AZ. The NPI Number for Agave Foot Specialists, Pllc is 1861508541 and holds a License No. 0552 (Arizona).

The current practice location address for Agave Foot Specialists, Pllc is 16841 N. 31St Ave., Phoenix, AZ and can be reached out via phone at 623-322-5501 and via fax at 623-322-8996. You can also correspond with Agave Foot Specialists, Pllc through the mailing address at 16841 N. 31ST AVE., PHOENIX, AZ - 85053-3051 (mailing address contact number: 623-322-5501).

Location: 16841 N. 31St Ave., Phoenix, AZ, 85053-3051
institution
Provider Profile Details
NPI Number
1861508541
Provider Name
Agave Foot Specialists, Pllc
Credential
Provider Entity Type
Organization
Address
16841 N. 31St Ave., Phoenix, AZ, 85053-3051
Phone Number
623-322-5501
Fax Number
623-322-8996
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD0997 01 AZ RAILROAD MEDICARE
Z78990 01 AZ MEDICARE ID-PIN
institution
Provider Business Practice Location Address Details
Address
16841 N. 31St Ave.
City
State
Zip
85053-3051
Phone Number
623-322-5501
Fax Number
623-322-8996
person
Provider Business Mailing Address Details
Address
16841 N. 31St Ave.
City
State
Zip
85053-3051
Phone Number
623-322-5501
Fax Number
623-322-8996
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
0552 (Arizona)
Definition
Definition to come...
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