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Contact Information

AGAVE FOOT SPECIALISTS, PLLC
16841 N. 31ST AVE.
STE. 134
PHOENIX, AZ85053-3051
 Phone: 623-322-5501
 Fax: 623-322-8996
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AGAVE FOOT SPECIALISTS PLLC · (Female)

NPI # 1861508541
Status Active
Credentials
Entity Individual
Enumeration date 08/22/2006
Last updated 02/26/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 0552
  • AZ Other Z78990 MEDICARE ID-PIN
  • AZ Other DD0997 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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