Individual
DR. KEITH ARBUCKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
13949 W MEEKER BLVD STE B, SUN CITY WEST, AZ 85375
(602) 675-0478
(602) 675-0479
Mailing address
18301 N 79TH AVE STE F168, GLENDALE, AZ 85308-6045
(602) 675-0478
(602) 675-0479
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016005677
IL
213E00000X
Podiatrist
0836
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
016005677
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000836
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005677
—
IL
05
—
161742
—
AZ
Enumeration date
05/14/2012
Last updated
11/06/2020
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