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Organization
PEYMAN A. ELISON DPM PC
Active
Organization
PEYMAN A. ELISON DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEYMAN A ELISON DPM (PRESIDENT)
(623) 584-5556
Entity
Organization
Contact information
Practice address
14800 W MOUNTAIN VIEW BLVD, SUITE 160, SURPRISE, AZ 85374-4795
(623) 584-5556
Mailing address
14800 W MOUNTAIN VIEW BLVD, SUITE 160, SURPRISE, AZ 85374-4795
(623) 584-5556
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0517
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483769
—
AZ
01
—
AZ0870860
BLUE CROSS
AZ
Enumeration date
02/20/2007
Last updated
04/20/2008
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