Organization
SOUTHWEST FOOT INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN A PINEDO DPM (PODIATRIST)
(602) 340-8686
Entity
Organization
Contact information
Practice address
926 E MCDOWELL RD, SUITE 121, PHOENIX, AZ 85006-2503
(602) 340-8686
(602) 340-8061
Mailing address
926 E MCDOWELL RD, SUITE 121, PHOENIX, AZ 85006-2503
(602) 340-8686
(602) 340-8061
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
AZ0154
AZ
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700379001
—
AZ
01
—
ZWCHTF
GROUP MEDICARE NUMBER
AZ
Enumeration date
10/26/2006
Last updated
07/10/2023
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