Provider Demographics
NPI:1932356805
Name:PIPHER, MARK RICHARD (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:RICHARD
Last Name:PIPHER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1520 S DOBSON RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-4725
Mailing Address - Country:US
Mailing Address - Phone:480-844-8218
Mailing Address - Fax:480-800-6647
Practice Address - Street 1:1520 S DOBSON RD
Practice Address - Street 2:SUITE 307
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4725
Practice Address - Country:US
Practice Address - Phone:480-844-8218
Practice Address - Fax:480-800-6647
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5901002239213ES0103X
AZ692213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery