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Organization
PREMIER FOOT AND ANKLE, L.L.C.
Active
Organization
PREMIER FOOT AND ANKLE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT R PRICE DPM (PROVIDER)
(928) 772-5916
Entity
Organization
Contact information
Practice address
3149 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2240
(928) 772-5916
(928) 775-3250
Mailing address
PO BOX 26488, PRESCOTT VALLEY, AZ 86312-6488
(928) 772-5916
(928) 775-3250
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0564
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711144001
—
AZ
05
—
711144002
—
AZ
01
—
AZ0195490
BLUE CROSS BLUE SHIELD
AZ
01
—
DC9191
RAIL RD MEDICARE
AZ
01
—
P00198294
RAIL ROAD MEDICARE
AZ
Enumeration date
09/20/2006
Last updated
05/04/2021
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