DR. Phetsamone Peter Xaysanasy, D.P.M.

NPI #1063456184 in Fayetteville, Arkansas

Provider Information

NPI Number: 1063456184
Entity Type: Individual
Name: DR. Phetsamone Peter Xaysanasy, D.P.M.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Jun 16, 2006
Last Updated: Jan 3, 2011

Practice Location

Address: 125 W SUNBRIDGE DR
Address 2: SUITE 1
City: Fayetteville
State: Arkansas
ZIP Code: 72703-1899
Phone: (479) 251-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Organizations

Provider Name	Specialty	City
Northwest Arkansas Podiatry Center, Inc.	Podiatrist	Fayetteville	AI Deep Dive

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