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

Phoenix Foot Surgeon Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1407031016

Phoenix Foot Surgeon Inc is a Foot & Ankle Surgery Podiatrist in Gilbert, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1501 N Gilbert Rd Ste 120
Gilbert, AZ 85234-2393
Phone: (480) 507-7560
Fax: (480) 507-7509
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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 · Licence AZ497 (AZ)

Record details

NPI number1407031016
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Roeder — President · (480) 507-7560
NPI enumeratedJanuary 2, 2008
Last updated in NPPESFebruary 22, 2016
Mailing address1501 N Gilbert Rd Ste 120, Gilbert, AZ 85234-2393

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