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Contact Information

SOUTHWEST FOOT AND ANKLE CENTER LLC
9343 E SHEA BLVD STE B-130
SCOTTSDALE, AZ85260-6802
 Phone: 425-277-3668
 Fax: 425-277-0732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SOUTHWEST FOOT AND ANKLE CENTER LLC

NPI Number 1497328330
LBN Legal business name SOUTHWEST FOOT AND ANKLE CENTER LLC
Authorized official PETRINA LEWIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2021
Last updated 01/05/2023 - About 3 years ago
Identifiers
AZ Other 8146570001 NORIDIAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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