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Organization

PHOENICIAN FOOT & ANKLE SPECIALISTS LLC

Active
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Organization

PHOENICIAN FOOT & ANKLE SPECIALISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NIMA SANA DPM (PODIATRIST)
(602) 363-3846
Entity
Organization

Contact information

Practice address
11000 N SCOTTSDALE RD STE 270, SCOTTSDALE, AZ 85254-5270
(480) 253-9996
(844) 733-9353
Mailing address
11000 N SCOTTSDALE RD STE 270, SCOTTSDALE, AZ 85254-5270
(480) 253-9996
(844) 733-9353

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0795
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155329
—
AZ
Enumeration date
08/31/2015
Last updated
09/17/2019
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