Organization
ADVANCED PODIATRIC SPECIALTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH P DAULAT DPM (PRESIDENT)
(623) 977-6245
Entity
Organization
Contact information
Practice address
6677 W THUNDERBIRD RD, J171/172, GLENDALE, AZ 85306-3709
(623) 977-6245
(623) 977-6280
Mailing address
16519 N 71ST AVE, PEORIA, AZ 85382-4951
(623) 977-6245
(623) 977-6280
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
0547
AZ
Other
Enumeration date
09/08/2006
Last updated
06/09/2010
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