Individual
ISAAC PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Mailing address
3763 N LADERA, MESA, AZ 85207-1114
(928) 283-2501
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0803
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97449
—
AZ
Enumeration date
04/03/2015
Last updated
04/15/2022
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