Individual
DR. BRIAN HIAPO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6170 S 51ST AVE STE 103, LAVEEN, AZ 85339
(602) 607-2700
Mailing address
6170 S 51ST AVE STE 103, LAVEEN, AZ 85339-6305
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000925
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517536
—
AZ
Enumeration date
09/29/2016
Last updated
07/16/2019
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