Organization
PARADISE VALLEY FOOT & ANKLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE VAUGHN (DPM)
(480) 705-7300
Entity
Organization
Contact information
Practice address
4611 E SHEA BLVD STE 160, PHOENIX, AZ 85028-4257
(480) 705-9920
(800) 530-9132
Mailing address
4611 E SHEA BLVD STE 160, PHOENIX, AZ 85028-4257
(480) 705-9920
(800) 530-9132
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
726
AZ
Other
Enumeration date
08/13/2012
Last updated
11/23/2020
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