# SAN TAN FOOT AND ANKLE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAN TAN FOOT AND ANKLE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285054049
- **Legal business name:** SAN TAN FOOT AND ANKLE
- **Authorized official:** DR. SPENCER NIEMANN DPM (PROVIDER)
- **Authorized official phone:** (480) 917-2300

## Contact information

- **Practice address:** 325 E BASELINE RD, PHOENIX, AZ 85042-6510
- **Practice address phone:** (480) 917-2300
- **Mailing address:** 3200 S ALMA SCHOOL RD, 203, CHANDLER, AZ 85248-3757
- **Mailing address phone:** (480) 917-2300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0672 | AZ | Yes |

## Other

- **Enumeration date:** 04/21/2014
- **Last updated:** 04/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 805048 | — | AZ |