Individual
DR. MICHAEL JAMES FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3822 RUSTLER CIR, PINETOP, AZ 85935-8179
(928) 242-0405
Mailing address
PO BOX 2712, PINETOP, AZ 85935-2712
(928) 242-0405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4289
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
953564
—
AZ
Enumeration date
02/13/2006
Last updated
06/10/2009
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