Provider Demographics
NPI:1578778213
Name:EULANO, ALBERT E (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:E
Last Name:EULANO
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 1:8575 E PRINCESS DR STE 221
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5441
Mailing Address - Country:US
Mailing Address - Phone:480-948-8754
Mailing Address - Fax:
Practice Address - Street 1:8575 E PRINCESS DR STE 221
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5441
Practice Address - Country:US
Practice Address - Phone:480-948-8754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0421213ES0131X, 213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0193820OtherBLUECROSSBLUESHIELD
AZ4707480001OtherDME
AZP00026267OtherRAILROAD MEDICARE
AZU50544Medicare UPIN
AZ4707480001OtherDME