# HEAD TO TOE HEALTH AND WELLNESS

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

## Provider details

- **NPI number:** 1710695069
- **Authorized official:** MR. JEFFREY S ROTH FNP (NURSE PRACTITIONER)
- **Authorized official phone:** (623) 640-4792

## Contact information

- **Practice address:** 16196 W GIBSON LN, GOODYEAR, AZ 85338-3448
- **Practice address phone:** (623) 640-4792
- **Mailing address:** PO BOX 7744, GOODYEAR, AZ 85338-0646
- **Mailing address phone:** (623) 640-4792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2022
- **Last updated:** 12/27/2022