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Organization

KELVIN S CREZEE DPM PC

Active
Other names
AHWATUKEE ANKLE FOOT AND LEG CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KELVIN S CREZEE DPM (OWNER)
(480) 893-1090
Entity
Organization

Contact information

Practice address
15810 S 45TH ST STE 190, PHOENIX, AZ 85048-7697
(480) 893-1090
(480) 598-1458
Mailing address
15810 S 45TH ST STE 190, PHOENIX, AZ 85048-7697
(480) 893-1090
(480) 598-1458

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0328
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DA4427
RAILROAD MEDICARE
AZ
Enumeration date
03/28/2007
Last updated
09/19/2008
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