# SPECTRUM FALLS FOOT & ANKLE SPECIALISTS, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1053447243
- **Authorized official:** DR. CLARK J FULLMER II DPM (PHYSICIAN)
- **Authorized official phone:** (480) 889-7055

## Contact information

- **Practice address:** 2730 S VAL VISTA DR, SUITE 158, GILBERT, AZ 85296-6675
- **Practice address phone:** (480) 889-7055
- **Practice address fax:** (480) 889-7054
- **Mailing address:** 2730 S VAL VISTA DR, SUITE 158, GILBERT, AZ 85296-6675
- **Mailing address phone:** (480) 889-7055
- **Mailing address fax:** (480) 889-7054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0484 | AZ | Yes |

## Other

- **Enumeration date:** 02/24/2007
- **Last updated:** 12/13/2007