Organization
DESERT FOOT SURGEONS P L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MICHAEL GELLER DPM (OWNER)
(602) 995-1169
Entity
Organization
Contact information
Practice address
2222 E HIGHLAND AVE, SUITE 206, PHOENIX, AZ 85016-4872
(602) 995-1169
(602) 995-7155
Mailing address
2222 E HIGHLAND AVE, SUITE 206, PHOENIX, AZ 85016-4872
(602) 995-1169
(602) 995-7155
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0426
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z0674
HEALTH NET
AZ
05
—
314758
—
AZ
01
—
AZ0193430
BCBS
AZ
01
—
P00057362
MEDICARE RAILROAD
AZ
Enumeration date
03/14/2006
Last updated
03/21/2017
Update your record
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