Organization
EDWARD V. FLAKE DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD FLAKE (OWNER)
(928) 367-3701
Entity
Organization
Contact information
Practice address
728 E WHITE MOUNTAIN BLVD, SUITE 3C, PINETOP, AZ 85935-7027
(928) 367-3701
(928) 367-0801
Mailing address
PO BOX 430D, PINETOP, AZ 85935-0416
(928) 367-3701
(928) 367-0801
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
06/13/2006
Last updated
08/22/2020
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