| |
Highway 86 @ Topawa Road, Sells, AZ 85634 | |
(520) 383-7251 | |
(520) 383-7216 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Public Medicine |
Location | Highway 86 @ Topawa Road, Sells, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407818347 | NPI | - | NPPES |
020579-03 | Medicaid | AZ | |
706921-01 | Medicaid | AZ | |
AZ0209580 | Other | AZ | BCBSAZ PROVIDER # |
907008-01 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
213EP0504X | Podiatrist - Public Medicine | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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7900 S J Stock Rd, Tucson, AZ 85746-7012 Ph: (520) 295-2427 | Highway 86 @ Topawa Road, Sells, AZ 85634 Ph: (520) 383-7251 |