# OCOTILLO FOOT AND ANKLE CENTERS, PLLC

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

## Provider details

- **NPI number:** 1356824759
- **Authorized official:** DR. MARY M PETERS DPM (CEO)
- **Authorized official phone:** (480) 895-0276

## Contact information

- **Practice address:** 270 W CHANDLER HEIGHTS RD STE 5, CHANDLER, AZ 85248-5084
- **Practice address phone:** (480) 895-0276
- **Practice address fax:** (480) 895-6933
- **Mailing address:** 270 W CHANDLER HEIGHTS RD STE 5, CHANDLER, AZ 85248-5084
- **Mailing address phone:** (480) 895-0276
- **Mailing address fax:** (480) 895-6933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2018
- **Last updated:** 09/11/2018