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Organization

FS CAMELBACK LLC

Active
Other names
Foot Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD P JACOBY DPM (OWNER)
(602) 241-9300
Entity
Organization

Contact information

Practice address
1650 E CAMELBACK RD, SUITE 175, PHOENIX, AZ 85016-3941
(602) 241-9300
(602) 241-9305
Mailing address
1650 E CAMELBACK RD, SUITE 175, PHOENIX, AZ 85016-3941
(602) 241-9300
(602) 241-9305

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BC3200X
AZ

Other

Enumeration date
02/26/2008
Last updated
04/20/2008
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