# SAGUARO PODIATRY ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1912168410
- **Authorized official:** MR. LADISLAV KUCHAR DPM (PRESIDENT)
- **Authorized official phone:** (520) 417-2244

## Contact information

- **Practice address:** 4810 E HIGHWAY 90, SIERRA VISTA, AZ 85635-2440
- **Practice address phone:** (520) 417-2244
- **Practice address fax:** (520) 459-0487
- **Mailing address:** 4810 E HIGHWAY 90, SIERRA VISTA, AZ 85635-2440
- **Mailing address phone:** (520) 417-2244
- **Mailing address fax:** (520) 459-0487

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 06/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 359656 | — | AZ |