# WHITE MOUNTAIN FOOT AND ANKLE CARE CENTER PLLC

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

## Provider details

- **NPI number:** 1508058249
- **Authorized official:** H RYAN HALL DPM (PRESIDENT)
- **Authorized official phone:** (928) 367-3701

## Contact information

- **Practice address:** 5448 WHITE MOUNTAIN BLVD, SUITE 270, LAKESIDE, AZ 85929-5739
- **Practice address phone:** (928) 532-1122
- **Practice address fax:** (928) 532-1124
- **Mailing address:** PO BOX 39, OVERGAARD, AZ 85933-0039
- **Mailing address phone:** (928) 532-1122
- **Mailing address fax:** (928) 532-1124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 640 | AZ | Yes |

## Other

- **Enumeration date:** 08/16/2007
- **Last updated:** 12/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 087223 | — | AZ |