# PODIATRIC PHYSICIANS OF ARIZONA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arizona Institute of Footcare Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194944728
- **Authorized official:** ASHLEY KOCH (CFO)
- **Authorized official phone:** (617) 562-7070

## Contact information

- **Practice address:** 1620 S STAPLEY DR, 132, MESA, AZ 85204-6634
- **Practice address phone:** (480) 834-8804
- **Practice address fax:** (480) 464-8287
- **Mailing address:** PO BOX 847818, DALLAS, TX 75284-7818
- **Mailing address phone:** (480) 834-8804
- **Mailing address fax:** (480) 464-8287

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 03/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500144 | — | AZ |
| 01 | — | CD4380 | PALMETTO GBA, RAILROAD MEDICARE | AZ |