Arizona Preferred Podiatry Management, LLC

NPI #1376198325 in Mesa, Arizona

Provider Information

NPI Number: 1376198325
Entity Type: Organization
Organization Name: Arizona Preferred Podiatry Management, LLC
Primary Specialty: Podiatrist
Enumeration Date: Aug 7, 2019
Last Updated: Aug 7, 2019

Practice Location

Address: 2919 S ELLSWORTH RD STE 124
City: Mesa
State: Arizona
ZIP Code: 85212-2167
Phone: (480) 907-8217

Authorized Official

Name: BRIAN ALLEN, D.P.M.
Title: OWNER/MANAGER
Phone: (480) 907-8319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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