Individual
DR. PEYMAN A ELISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
14823 W BELL RD, SUITE 100, SURPRISE, AZ 85374-7607
(623) 584-5556
(623) 584-0755
Mailing address
14823 W BELL RD, SUITE 100, SURPRISE, AZ 85374-7607
(623) 584-5556
(623) 584-0755
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0517
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-4422072
TAX ID
AZ
Enumeration date
11/10/2006
Last updated
11/16/2012
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