Provider Demographics
NPI:1063463305
Name:DISCONT, ALAN J (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:J
Last Name:DISCONT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:600 S DOBSON RD
Mailing Address - Street 2:SUITE D35
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5678
Mailing Address - Country:US
Mailing Address - Phone:480-732-0033
Mailing Address - Fax:480-732-0038
Practice Address - Street 1:600 S DOBSON RD
Practice Address - Street 2:SUITE D35
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5678
Practice Address - Country:US
Practice Address - Phone:480-732-0033
Practice Address - Fax:480-732-0038
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAZ0212213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ378420800OtherDEPT OF LABOR PROV NUMBER
AZ700478Medicaid
AZAZ0068980OtherBCBS PROVIDER NUMBER
AZ1Z0359OtherHEALTH NET AZ PROVIDER NU
AZ1Z0359OtherHEALTH NET AZ PROVIDER NU
AZAZ0068980OtherBCBS PROVIDER NUMBER
AZT41561Medicare UPIN