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

Organization Podiatrist · NPI 1710234422

Paradise Valley Foot & Ankle PLLC is a Podiatrist in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2012
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

4611 E Shea Blvd Ste 160
Phoenix, AZ 85028-4257
Phone: (480) 705-9920
Fax: (800) 530-9132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3624 W Anthem Way Ste C116, Anthem, AZ 85086-0457 — (480) 705-9920

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 726 (AZ)

Record details

NPI number1710234422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Vaughn — Dpm · (480) 705-7300
NPI enumeratedAugust 13, 2012
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing address4611 E Shea Blvd Ste 160, Phoenix, AZ 85028-4257

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