# DESERT SPORTS FOOT AND ANKLE LLC

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

## Provider details

- **NPI number:** 1992090476
- **Authorized official:** JAMES GARBER (MEMBER)
- **Authorized official phone:** (888) 557-6802

## Contact information

- **Practice address:** 9431 W THUNDERBIRD RD STE 3, PEORIA, AZ 85381-4237
- **Practice address phone:** (888) 557-6802
- **Mailing address:** PO BOX 5579, PEORIA, AZ 85385-5579
- **Mailing address phone:** (888) 557-6802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0000X | Sports Medicine Podiatrist | — | NULL | — |
| 213ES0000X | Sports Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2011
- **Last updated:** 06/13/2011