| Blake Taylor Wallace, DPM | |
|
15601 N 28th Ave Ste 102, Phoenix, AZ 85053-4061 | |
| (480) 844-8218 | |
| Not Available |
| Full Name | Blake Taylor Wallace |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 15601 N 28th Ave Ste 102, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083216949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD-001117 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Taylor Wallace, DPM Po Box 32611, Belfast, ME 04915-0219 Ph: (480) 844-8218 | Blake Taylor Wallace, DPM 15601 N 28th Ave Ste 102, Phoenix, AZ 85053-4061 Ph: (480) 844-8218 |
Dr. Stefan Mudryj, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 16601 N 40th St, Phoenix, AZ 85032 Phone: 480-235-5797 Fax: 480-629-5206 | |
Elite Foot And Ankle Surgical Specialists Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1002 E Mcdowell Rd, Suite A, Phoenix, AZ 85006 Phone: 602-262-2663 Fax: 602-258-3008 | |
Dr. Troy Scott Wilde, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1012 E Willetta St, Phoenix, AZ 85006 Phone: 602-839-6484 | |
Podboys Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2340 E Beardsley Rd Ste 120, Phoenix, AZ 85024 Phone: 602-456-2085 | |
Desert Foot Surgeons P L L C Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2222 E Highland Ave, Suite 206, Phoenix, AZ 85016 Phone: 602-995-1169 Fax: 602-995-7155 | |
Andrew E Lowy Dpm Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 14001 N 7th St Ste A101, Phoenix, AZ 85022 Phone: 602-942-3966 Fax: 602-548-9470 | |
Associated Podiatrists, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 3330 N 2nd St, Suite 100, Phoenix, AZ 85012 Phone: 602-264-1031 Fax: 602-264-3864 |