# ON THE MOVE PODIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285218750
- **Authorized official:** SHELLY FERRULLI (OFFICE MANAGER)
- **Authorized official phone:** (602) 993-2700

## Contact information

- **Practice address:** 19636 N 27TH AVE STE 207, PHOENIX, AZ 85027-4015
- **Practice address phone:** (602) 993-2700
- **Mailing address:** 19636 N 27TH AVE STE 301, PHOENIX, AZ 85027-4016
- **Mailing address phone:** (602) 993-2700
- **Mailing address fax:** (602) 993-2705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/10/2021
- **Last updated:** 02/16/2022