Provider Demographics
NPI:1508388539
Name:CURTIS, THOMAS DEAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:DEAN
Last Name:CURTIS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6170 S 51ST AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-6305
Mailing Address - Country:US
Mailing Address - Phone:602-536-5037
Mailing Address - Fax:602-607-2702
Practice Address - Street 1:6170 S 51ST AVE STE 103
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-6305
Practice Address - Country:US
Practice Address - Phone:602-607-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5586213ES0103X
AZPOD-000974213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery