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

Prescott Foot & Ankle Clinic PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1407925738

Prescott Foot & Ankle Clinic PC is a Foot & Ankle Surgery Podiatrist in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

919 12th Pl Ste 10
Prescott, AZ 86305-1433
Phone: (928) 776-0770
Fax: (928) 776-8991
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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 0261AZ (AZ)

Record details

NPI number1407925738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kent Peterson — Owner · (928) 776-0770
NPI enumeratedNovember 8, 2006
Last updated in NPPESFebruary 8, 2008
Mailing address919 12th Place, Suite 10, Prescott, AZ 86305-1433

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