Provider Demographics
NPI:1659610699
Name:FOOT AND ANKLE CENTER PLLC
Entity Type:Organization
Organization Name:FOOT AND ANKLE CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:CORY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-422-3822
Mailing Address - Street 1:19820 N 7TH ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-1689
Mailing Address - Country:US
Mailing Address - Phone:480-473-3668
Mailing Address - Fax:480-473-3668
Practice Address - Street 1:19820 N 7TH ST
Practice Address - Street 2:SUITE 115
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-1689
Practice Address - Country:US
Practice Address - Phone:480-473-3668
Practice Address - Fax:480-473-3671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty