Individual
KARYN SALLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
7000 N 16TH ST, SUITE 120 BOX 483, PHOENIX, AZ 85020-5547
(602) 395-1818
(602) 395-1818
Mailing address
7000 N 16TH ST, SUITE 120 BOX 483, PHOENIX, AZ 85020-5547
(602) 395-1818
(602) 395-1818
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430059
—
AZ
01
—
480030876
MEDICARE RAILROAD
AZ
01
—
AZ0193680
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
10/05/2005
Last updated
03/20/2012
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