Provider Demographics
NPI:1508096520
Name:WALK IN MEDICAL PLLC
Entity Type:Organization
Organization Name:WALK IN MEDICAL PLLC
Other - Org Name:CHOICE MEDICAL WALK IN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRYAN
Authorized Official - Last Name:FOY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:623-326-9588
Mailing Address - Street 1:2525 W CAREFREE HWY
Mailing Address - Street 2:BUILDING 1, SUITE 102
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-6093
Mailing Address - Country:US
Mailing Address - Phone:623-434-5748
Mailing Address - Fax:623-434-5751
Practice Address - Street 1:2525 W CAREFREE HWY
Practice Address - Street 2:BUILDING 1, SUITE 102
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-6093
Practice Address - Country:US
Practice Address - Phone:623-434-5748
Practice Address - Fax:623-434-5751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-24
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3834261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ149880OtherPTAN