Organization
EXTENSIVE FOOT AND ANKLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GIFFORD DPM (AUTHORIZED OFFICIAL)
(928) 955-0777
Entity
Organization
Contact information
Practice address
1951 W 25TH ST STE E, YUMA, AZ 85364-6924
(480) 521-2180
Mailing address
1065 S TAMARACK AVE, YUMA, AZ 85364-4136
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
07/08/2025
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