Organization
HAWKEYE FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA HEATH D.P.M. (OWNER)
(515) 669-9089
Entity
Organization
Contact information
Practice address
6707 N 19TH AVE, PHOENIX, AZ 85015-1104
(602) 274-4100
Mailing address
6707 N 19TH AVE, PHOENIX, AZ 85015-1104
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
0809
AZ
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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