Organization
ELITE FOOT AND ANKLE SURGICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON J KIM DPM (OWNER)
(602) 995-1169
Entity
Organization
Contact information
Practice address
1002 E MCDOWELL RD, SUITE A, PHOENIX, AZ 85006-2625
(602) 262-2663
(602) 258-3008
Mailing address
1002 E MCDOWELL RD, SUITE A, PHOENIX, AZ 85006-2625
(602) 262-2663
(602) 258-3008
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00571
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797897
—
AZ
Enumeration date
03/14/2006
Last updated
08/22/2020
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