Organization
ESTRELLA FOOT AND ANKLE PC
Active
Other names
Fancy Footwork Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESE NICOLLE LOSI DPM (PRESIDENT)
(623) 640-1799
Entity
Organization
Contact information
Practice address
9515 W CAMELBACK RD, SUITE 104, PHOENIX, AZ 85037-1355
(623) 640-1799
(623) 455-9388
Mailing address
PO BOX 20490, MESA, AZ 85277-0490
(480) 296-4642
(480) 296-7643
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
632
AZ
Other
Enumeration date
08/07/2007
Last updated
03/11/2016
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