| |
6820 S Kings Ranch Rd Ste 130, Gold Canyon, AZ 85118-2959 | |
(480) 982-8137 | |
(480) 983-8153 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 6820 S Kings Ranch Rd Ste 130, Gold Canyon, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871674234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Provider Name | John Wayne Mcghan |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1881116762 PECOS PAC ID: 6103155478 Enrollment ID: I20190911002741 |
Mailing Address | Practice Location Address |
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6499 S Kings Ranch Rd # 6-10, Gold Canyon, AZ 85118-2902 Ph: (480) 982-8137 | 6820 S Kings Ranch Rd Ste 130, Gold Canyon, AZ 85118-2959 Ph: (480) 982-8137 |
Dr. Edward James Bodmer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9765 E Dead Sure Pl, Gold Canyon, AZ 85218 Phone: 480-363-3066 Fax: 480-983-8153 |