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Organization
MIRAGE PODIATRY FOOT AND ANKLE SPECIALISTS
Active
Organization
MIRAGE PODIATRY FOOT AND ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMMAD MOHAMMAD ZAFAR DPM (DOCTOR)
(480) 358-7970
Entity
Organization
Contact information
Practice address
9250 N 3RD ST STE 3020, PHOENIX, AZ 85020-2425
(480) 939-3440
(480) 939-3448
Mailing address
9250 N 3RD ST STE 3020, PHOENIX, AZ 85020-2425
(480) 939-3440
(480) 939-3448
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164752283
—
AZ
05
—
1164809711
—
AZ
Enumeration date
07/11/2020
Last updated
09/26/2023
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