# PEYMAN A. ELISON DPM PC

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

## Provider details

- **NPI number:** 1982749917
- **Authorized official:** DR. PEYMAN A ELISON DPM (PRESIDENT)
- **Authorized official phone:** (623) 584-5556

## Contact information

- **Practice address:** 14800 W MOUNTAIN VIEW BLVD, SUITE 160, SURPRISE, AZ 85374-4795
- **Practice address phone:** (623) 584-5556
- **Mailing address:** 14800 W MOUNTAIN VIEW BLVD, SUITE 160, SURPRISE, AZ 85374-4795
- **Mailing address phone:** (623) 584-5556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0517 | OH | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 483769 | — | AZ |
| 01 | — | AZ0870860 | BLUE CROSS | AZ |