Organization
FOOT DOCTOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARYN SALLUS (PROVIDER)
(602) 874-8566
Entity
Organization
Contact information
Practice address
7000 N 16TH ST # 120, BOX 483, PHOENIX, AZ 85020-5547
(602) 874-8566
(602) 395-1818
Mailing address
7000 N 16TH ST # 120, BOX 483, PHOENIX, AZ 85020-5547
(602) 874-8566
(602) 395-1818
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480030876
MEDICARE RAILROAD
AZ
Enumeration date
03/09/2007
Last updated
03/20/2012
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