# EXTENSIVE FOOT AND ANKLE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003617853
- **Authorized official:** MICHAEL GIFFORD DPM (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (928) 955-0777

## Contact information

- **Practice address:** 1951 W 25TH ST STE E, YUMA, AZ 85364-6924
- **Practice address phone:** (480) 521-2180
- **Mailing address:** 1065 S TAMARACK AVE, YUMA, AZ 85364-4136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2025
- **Last updated:** 07/08/2025