Organization
PODIATRIC FIRST ASSIST PLC
Active
Other names
Podiatric First Assist PLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEBBIE SOTA (MANAGER)
(623) 234-8131
Entity
Organization
Contact information
Practice address
85 W COMBS RD, #101, SAN TAN VALLEY, AZ 85140-9105
(480) 677-4651
(480) 840-3458
Mailing address
PO BOX 153, SAN TAN VALLEY, AZ 85142-1802
(480) 677-4651
(480) 840-3458
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
0727
AZ
211D00000X
Podiatric Assistant
0762
AZ
211D00000X
Podiatric Assistant
Primary
575
AZ
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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