Maricopa Podiatry Corporation

NPI #1649456229 in Surprise, Arizona

Provider Information

NPI Number: 1649456229
Entity Type: Organization
Organization Name: Maricopa Podiatry Corporation
Primary Specialty: Podiatrist - Foot Surgery
Enumeration Date: Jan 14, 2008
Last Updated: Sep 10, 2014

Practice Location

Address: 12361 W BOLA DR
Address 2: SUITE 100
City: Surprise
State: Arizona
ZIP Code: 85378-9021
Phone: (623) 214-3335

Authorized Official

Name: DR. THARESH UDUPA, DPM
Title: OWNER
Phone: (623) 214-3335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X	Primary

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