Organization
ELITE PODIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY THOMAS LOO DPM (OWNER)
(602) 321-0292
Entity
Organization
Contact information
Practice address
13838 S 46TH PL, SUITE 210, PHOENIX, AZ 85044-7800
(480) 213-3011
(480) 816-4483
Mailing address
13838 S 46TH PL, SUITE 210, PHOENIX, AZ 85044-7800
(480) 213-3011
(480) 816-4483
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0502
AZ
Other
Enumeration date
08/30/2010
Last updated
05/19/2016
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