Podiatry Matrix LLC

NPI #1780162545 in Avondale, Arizona

Provider Information

NPI Number: 1780162545
Entity Type: Organization
Organization Name: Podiatry Matrix LLC
Primary Specialty: Anesthesiology
Enumeration Date: Aug 3, 2018
Last Updated: Aug 3, 2018

Practice Location

Address: 13065 W MCDOWELL RD STE C101
City: Avondale
State: Arizona
ZIP Code: 85392-6445
Phone: (928) 499-4519

Authorized Official

Name: RANDALL BROWER
Title: MANAGER
Phone: (623) 547-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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