Organization
SAN TAN FOOT AND ANKLE
Active
Parent organization
SAN TAN FOOT AND ANKLE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN TAN FOOT AND ANKLE
Authorized official
DR. SPENCER NIEMANN DPM (PROVIDER)
(480) 917-2300
Entity
Organization
Contact information
Practice address
325 E BASELINE RD, PHOENIX, AZ 85042-6510
(480) 917-2300
Mailing address
3200 S ALMA SCHOOL RD, 203, CHANDLER, AZ 85248-3757
(480) 917-2300
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0672
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805048
—
AZ
Enumeration date
04/21/2014
Last updated
04/21/2014
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