# ARIZONA FOOT & ANKLE SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1639366412
- **Authorized official:** DR. SAMUEL W COX JR. DPM (MANAGER / PODIATRIST)
- **Authorized official phone:** (623) 935-5780

## Contact information

- **Practice address:** 2790 NORTH LITCHFIELD ROAD, SUITE 120, GOODYEAR, AZ 85395
- **Practice address phone:** (623) 935-5780
- **Practice address fax:** (623) 935-5783
- **Mailing address:** 2790 NORTH LITCHFIELD ROAD, SUITE 120, GOODYEAR, AZ 85395
- **Mailing address phone:** (623) 935-5780
- **Mailing address fax:** (623) 935-5783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0612 | AZ | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 02/10/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 118084 | PTAN | AZ |