Organization
BAREFOOT DOCTORS HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALJINDER MANGAT MD (PRESIDENT/OWNER)
(480) 985-1093
Entity
Organization
Contact information
Practice address
1402 N MILLER RD, SUITE C5, SCOTTSDALE, AZ 85257-3658
(480) 985-1093
Mailing address
PO BOX 6571, SCOTTSDALE, AZ 85261-6571
(480) 985-1093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0860380
BCBS PROV NUMBER
AZ
01
—
DE2387
RAILROAD MEDICARE
AZ
01
—
F05053
PHP AHCCCS PROV NUMBER
AZ
Enumeration date
10/09/2006
Last updated
11/07/2007
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