| NPI | 1477678704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HOLT ALLEN Owner/Podiatrist 480-633-7944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: AZ 0622) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 225100000X Physical Therapist | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 2086S0129X Surgery, Vascular Surgery | |
| 213E00000X Podiatrist | |
| 213ER0200X Podiatrist, Radiology | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 207Q00000X Family Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207R00000X Internal Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-02-20 |