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Contact Information

AMG PODIATRY LLC
4915 E BASELINE RD STE 121
GILBERT, AZ85234-2969
 Phone: 480-812-3668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AMG PODIATRY LLC

NPI Number 1376160309
LBN Legal business name AMG PODIATRY LLC
Authorized official ANDREW GOODEILL - (OWNER/MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2020
Last updated 08/08/2020 - About 6 years ago
Identifiers n/a
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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