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Organization

SCOTTSDALE FOOTCARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK RICHARD GORMAN D.P.M. (CEO)
(623) 934-3211
Entity
Organization

Contact information

Practice address
15425 N GREENWAY HAYDEN LOOP, SUITE A300, SCOTTSDALE, AZ 85260-1204
(623) 934-3211
(623) 930-1891
Mailing address
8608 N 59TH AVE, GLENDALE, AZ 85302-5404
(623) 934-3211
(623) 930-1891

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0069
AZ

Other

Enumeration date
07/21/2009
Last updated
07/21/2009
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