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Organization
ARIZONA FOOT AND ANKLE MEDICINE AND SURGERY, PLC
Active
Organization
ARIZONA FOOT AND ANKLE MEDICINE AND SURGERY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR J SANDALL DPM (PRESIDENT)
(480) 699-8762
Entity
Organization
Contact information
Practice address
1347 N GREENFIELD RD, SUITE 101, MESA, AZ 85205-4072
(480) 699-8762
(480) 699-8350
Mailing address
PO BOX 13385, SCOTTSDALE, AZ 85267-3385
(480) 609-9300
(480) 609-9350
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0704
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
531450
—
AZ
Enumeration date
01/14/2011
Last updated
06/30/2014
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