Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Foot & Ankle Specialists of Arizona PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1417668203

Foot & Ankle Specialists of Arizona PLLC is a Foot & Ankle Surgery Podiatrist in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

926 E McDowell Rd Ste 121
Phoenix, AZ 85006-2500
Phone: (623) 544-9090
Fax: (623) 546-3704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1417668203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seth Clark — Authorized Official · (623) 544-9090
NPI enumeratedDecember 12, 2022
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024
Mailing address18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045

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